BILLING TECHNICIAN
About The Position
ESSENTIAL DUTIES, FUNCTIONS AND RESPONSIBILITIES Receives and approves primary and secondary claims to third party payers with accurate International Classification of Diseases-10th revision clinical modification (ICD10-CM)/Current Procedural Terminology (CPT)/Current Dental Terminology (CDT), and Healthcare Common Procedure Coding System (HCPCS) codes. Ensures patient services are submitted to third party payers abiding by payer specific guidelines and requirements. Upholds internal relationships with other areas of Revenue Cycle Management such as Patient Registration, Health Information Management, Coding, Collections and Accounts Receivable. Identifies errors, omissions, duplications in documentation and contacts the appropriate department for resolution. Identifies inconsistencies and discrepancies in medical documentation by notifying the appropriate departments within the facility for complete charge capture and abstraction. Always keeps this system updated to ensure accurate reports. Updates and maintains all changes in payer processes, requirements and guidelines through independent study. Meets daily productivity benchmark that is set by the Patient Accounts Manager. This would include any changes based upon necessity. Performs other duties as assigned.
Requirements
- APPLICANT MUST HAVE A VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE
- RESUMES AND REFERENCES ARE REQUIRED
- Three (3) years of direct work experience.
- High School Diploma or Equivalency (HSE).
Responsibilities
- Receives and approves primary and secondary claims to third party payers with accurate International Classification of Diseases-10th revision clinical modification (ICD10-CM)/Current Procedural Terminology (CPT)/Current Dental Terminology (CDT), and Healthcare Common Procedure Coding System (HCPCS) codes.
- Ensures patient services are submitted to third party payers abiding by payer specific guidelines and requirements.
- Upholds internal relationships with other areas of Revenue Cycle Management such as Patient Registration, Health Information Management, Coding, Collections and Accounts Receivable.
- Identifies errors, omissions, duplications in documentation and contacts the appropriate department for resolution.
- Identifies inconsistencies and discrepancies in medical documentation by notifying the appropriate departments within the facility for complete charge capture and abstraction. Always keeps this system updated to ensure accurate reports.
- Updates and maintains all changes in payer processes, requirements and guidelines through independent study.
- Meets daily productivity benchmark that is set by the Patient Accounts Manager.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
