Billing Verification Specialist

Medstar Ambulance • Clinton Township, MI

35d • Hybrid

About The Position

The Billing Verification Specialist is responsible for the daily verification of all patient demographics and insurance for ambulance runs to be able to submit for coding of call and insurance or patient submission.

Requirements

• High School diploma or GED
• 2+ years’ experience as a coder
• Strong computer skills
• Data Entry skills
• Strong attention to detail
• Ability to work independently and collaboratively within a team environment
• Able to multi-task and meet tight deadlines
• Ability to decipher information from the CMS coding guidelines and apply the accurate information to patient information
• Strong grammar skills and/or the ability to check all work online
• Driven to accomplish assigned tasks
• Self-starter; requires minimal supervision
• Excellent communication skills (including verbal and written)
• Strong organizational abilities
• Proper phone, computer, internet connection and designated workspace free from noise and interruptions.
• Successful achievement of productivity and quality goals.
• Written approval and schedule from Billing Manager.

Nice To Haves

• CAC – Certified Ambulance Coder, preferred but not required

Responsibilities

• Verify the type of call that you are working on. You must know if the call is a 911 call from home, motor vehicle accident (MVA), workman’s comp, hospice, hospital DRG, etc.
• Verify all patient information including name, date of birth, address, social security, patient signature.
• Verify patient insurance information if provided. If not provided, search necessary data bases.
• Check all scripts/ECIN for any missing or needed information.
• Make any needed calls to patients, facilities or patient family members to obtain needed information not provided.
• Must verify Medicare Part A stays for all patients in skilled nursing facilities.
• Move call to “ready to code” once all of the above information has been verified.

What This Job Offers

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