Medical Billing Clerk

PRIORITY AMBULANCE LLC•Utica, NY

2d•$17 - $25•Onsite

About The Position

The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. This role involves claim submission, insurance follow-up, denial management, deductible management, timely filing, and handling incoming calls from patients and insurance payors. Specific duties may vary depending on whether the position is PreBill or PostBill. The clerk will be responsible for coding ambulance, wheelchair, or stretcher transports, utilizing and assigning appropriate ICD10, HCPCS, and modifiers for ambulance services. They must read and comprehend patient care reports to analyze and perform coding for each claim, submit claims for reimbursement, and follow up on unpaid claims. This role requires working claims and claim denials to ensure maximum reimbursement, developing self-pay arrangements with patients, and managing timely filing and deductible management queues. Meeting standard productivity standards and demonstrating knowledge, understanding, and compliance with company policies, procedures, and relevant Federal, State, and local laws, rules, regulations, and guidelines is essential. The position also requires maintaining a high level of professionalism and customer service, notifying the Billing Supervisor of any documentation lapses affecting compliance and HIPAA standards, and maintaining the security and privacy of all company and patient information. Performing other related duties as directed is also part of the role.

Requirements

High School Diploma
Experience with Medical Coding
Must have the ability to properly perform job responsibilities as listed

Nice To Haves

Certification a plus

Responsibilities

Coding ambulance, wheelchair or stretcher transports.
Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.
Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.
Submit claims for reimbursement to insurance carriers.
Follow up on unpaid claims and initiate claim status inquiries with insurance payers.
Work claims and claim denials to ensure maximum reimbursement for services provided.
Work with patients to develop self-pay arrangements.
Work timely filing and deductible management queues.
Meet standard productivity standards.
Demonstrate knowledge, understanding and compliance of company policies and procedures.
Demonstrate complete knowledge of proper billing and coding procedures.
Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.
Work as a team member.
Complete and maintain appropriate training, certification and licensure for their position.
Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.
Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.
Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.
Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.
Perform other duties related to billing/coding and account management as directed or needed.