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Billing Support - EXPERIENCED in-House Only
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- ESSENTIAL DUTIES AND RESPONSIBILITIES:Understand functions within the Practice Management system of Nextgen including batch posting, holding tank, charge screen, and work log.
- Collect hospital charges from Womens Care providers on a routine basis in addition to reviewing weekly hospital surgery schedules and daily census in order to ensure timely submission of charges.
- Download all pertinent information including Patient H&P, Face Sheet, and Discharge info from the hospitals EMR system, review documentation and using most recent Coding Books assign CPT codes, ICD-10 codes, and modifiers.
- Maintain monthly lists of NSTs, Surgeries, and DeliveriesCoordinate signed consents for Tubal and Hysterectomies with surgery scheduling staff at Womens Care office.
- Look up the ICD-10 diagnosis, manually enter charges in Nextgen, check insurance eligibility and pull over correct insurance(s); process charges, ensure claim has dropped with the correct Revenue Code and MC G Pmt. code; follow up on NH or Home Visit encounters in the Work Log. Review and Process Dental Charges from the Holding Tank; ensure Dental Hygienist Visits are auto adjusted.
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