Job description
Summary
Audits front-end data elements of a more complex and advanced level relative to billing a clean claim. Reviews demographics, insurance information, provider identification information, and charge capture documents and systems for accuracy and completeness. Communicates findings to AR Supervisor to ensure applicable staffs are made aware of pre-bill audit findings. Working under limited supervision, adapts procedures, processes, and techniques to accomplish the more complex requirements of the position. Serves as lead by answering questions, conducting training, preparing educational materials, mentoring for Claims Services Reps. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
Education/Experience/Licensure
Education/Formal Training
Work Experience
Credential/Licensure
REQUIRED:
High school graduate or equivalent
Must have at least two (2) years of experience in billing, coding and medical terminology in a medical practice setting.
N/A
PREFERRED:
N/A
N/A
CPC (Certified Professional Coder), Certified Coding Specialist-Physician Based (CCS-P), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
SUBSTITUTIONS ALLOWED:
N/A
N/A
N/A
Knowledge/Skills/Abilities
- Strong knowledge all data elements compiled on standard billing forms/data sets.
- Strong knowledge of Practice Management Systems and basic computer skills.
- Detail oriented, excellent prioritization and organizational skills.
- Ability to work without close supervision and to exercise independent judgment.
- Ability to organize multiple tasks and workflow for self and others as it relates to training, preparing educational materials, and providing guidance.
Key Job Responsibilities
- Serves in the lead capacity for Pre-Bill Auditor/Billers for the CBO.
- Performs more complex and non-routine reviews and reports findings to AR Supervisor.
- Submits more complex and non-routine claims to third party and governmental payers.
Physical Requirements
- The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
- Must have good balance and coordination.
- The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
- The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
- The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
offroadmanagementgroup.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, offroadmanagementgroup.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, offroadmanagementgroup.com is the ideal place to find your next job.