Billing Specialist

Centrum Health • Doral, FL

12h

About The Position

The Biller Specialist is responsible for the accuracy of the super bill/claim prior to transmission to payer, including validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

Requirements

• High school diploma or GED equivalent
• Minimum of 1 year of experience as a medical biller.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Knowledge of CPT, ICD-10-CM and HCPCS codes.
• Knowledge of coding principles and guidelines.
• Knowledge of billing principles and guidelines.
• Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Excellent written and oral communication skills

Nice To Haves

• American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS).

Responsibilities

• Assign/remove CPT, HCPCS and modifiers as part of the super bill/claim validation process.
• Prepare and review super bill/claims prior to submission.
• Identify coding trends and opportunities to improve quality, efficiency and productivity.
• Checking each insurance payment for accuracy.
• Ensure compliance with billing and payers’ guidelines.
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Researching and appealing denied claims.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED