MEDICAL BILLING SPECIALIST-CPC

VA Ear Nose Throat Associates • Richmond, VA

4d • Onsite

About The Position

The Medical Billing Specialist is responsible for entering surgery charges, after review of the operative report. The medical billing specialist may also be assigned other work in the dept as needed.

Requirements

• A high school diploma;
• Certified Professional Coder, it is necessary to maintain CEU’s;
• Experience in a medical office setting, preferably at least 2 years and preferably with billing functions;
• Excellent communication and customer service skills;
• Basic knowledge of keyboard and accurate data entry skills;
• Technical skills sufficient to be able to run reports and interpret data;
• A team player who is able to facilitate people working together in a collegial and efficient manner;
• Ability to communicate clearly in person and/or on the phone and establish/maintain cooperative relationships with patients, physicians and staff;
• Ability to organize and prioritize tasks effectively;
• Ability to read, understand and follow oral and written instructions.

Responsibilities

• Reviews op reports to verify the codes that were authorized were documented.
• Applies appropriate coding methodology to prevent a bundling denial, which includes using modifiers as needed.
• If changes are found in the op report or on the change report from the surgery center, it is necessary to work with the surgery scheduler to have the pre-authorization requirements of the new codes verified/updated.
• Works the missing ticket report for all scheduled surgeries.
• May be asked to post remits, credit balance report as needed.
• If there is a discrepancy found while reviewing the op report, it may be necessary to query the physician to clarify the procedure performed via text, email or EMR message.
• Weekly email is completed to the physicians including ASC president and the Director of Revenue Cycle Management to inquire about incomplete or missing op reports.
• Works all visit category 4 accounts on the AR within one week of assignment
• All other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees