Procedural Billing Specialist II-MSW-FT Days
About The Position
Responsible for multiple components of the billing process for specialized or complex pre and post-surgical procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to problems or questions on benefit eligibility and reimbursement procedures. Independently engages or participates in the negotiation process with third party carrier Medical Directors and other representatives. Coordinates activities related to data entry of billing and mentors less senior billing staff on coding and other items. Demonstrates proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or Revenue Cycle Manager on billing activity and current concerns.
Requirements
- Proficiency in analysis and problem resolution.
- Experience in coding, Accounts Receivable, Charge Entry, Edits and Payment Posting.
- Ability to engage in negotiation processes with third-party carriers.
- Mentoring skills for less senior staff.
Responsibilities
- Manage multiple components of the billing process for specialized or complex pre and post-surgical procedures, including coding, Accounts Receivable, Charge Entry, Edits and Payment Posting.
- Facilitate claims processing for services rendered by physicians.
- Assist with responses to problems or questions on benefit eligibility and reimbursement procedures.
- Independently engage or participate in the negotiation process with third party carrier Medical Directors and other representatives.
- Coordinate activities related to data entry of billing.
- Mentor less senior billing staff on coding and other items.
- Demonstrate proficiency in analysis and problem resolution to ensure accurate and timely payment of claims and collection.
- Maintain open dialogue with the Department Administrator and/or Revenue Cycle Manager on billing activity and current concerns.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
