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Knowledge of medical / dental billing and coding preferred i.e. CPT and ICD9 coding. This is made possible by being home to the largest robotic surgery center in the Northeast and the Center for Education, Simulation and Innovation (CESI), one of the most-advanced medical simulation training centers in the world.
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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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At least one year of experience in a job with exposure to medical terminology such as a Medical Billing Coder, Emergency Medical Technician, work in a hospital or doctor's office.
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Proficiency in medical terminology, coding systems (e.g., ICD-10, CPT), and billing software. Experience in healthcare billing, coding, or revenue cycle management, with specific knowledge of operating room procedures.
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Provides claim follow up assistance to the AR team for resolution of payment on unpaid or denied claims for LMHS employed physicians by securing maximum reimbursement through enhanced and accurate coding and billing.
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As the Medical Billing Specialist, you will generate insurance claims and patient statement billings and collect outstanding insurance or patient balances. Knowledge of current coding practices in regards to billing and processing of Explanation Of Benefits, managed care contracts preferred.
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Applicants must have ambulance billing experience, including knowledge of Medicare, Medicaid and MCO compliance, coding, billing, posting, and excellent communication and computer skills.
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Multi-line telephones, fax, computer, printer, copier, credit card equipment, typewriter, adding machine, billing and coding reference materials. Minimum of 1-2 years of experience in medical billing in a physician office or physician office related setting.
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Will provide patient check-out services by re-verifying insurance, processing patient billing and coding sheets for accurate optometric procedures and diagnostic codes; collecting exam fees and co-pays along with eyewear purchases.
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Qualifications Certification in medical coding and billing preferred. TMC Bonham is managed by Texoma Medical Center, subsidiary of UHS. The Appeals Specialist is responsible for appealing all insurance denials and prepare relevant reports regarding trends in denials.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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Ideal Candidate Will Possess: Required Certificates: Medical Billing and Coding Certification: Required for proficiency in accurate coding and billing practices. Possesses extensive experience in both private practices and large healthcare systems, making a valuable addition to our team at FreedomCare Med. This pivotal role involves advocating for providers and clinicians supporting primary care/internal medicine practices and healthcare programs like RPM, CCM, and BHI and ensuring all timely coding and billing procedures.
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CERTIFICATIONS, LICENSES OR REGISTRATION REQUIRED: NAKnowledge, Skills & AbilitiesAdvanced knowledge of medical billing, to include billing policies and procedures for federal payers; advanced knowledge of medical coding and coding guidelines, for both professional billing and facility/institutional billing; knowledge of federal and state rules, laws, regulations, policies/procedures, etc.
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Serve as liaison for coding and billing staff to ensure accurate charge capture. Responsible for maintaining coding certification, knowledge and skills to successfuly perform job dutiesProvides initial and ongoing provider and staff training regarding appropriate code assignmentPerforms provider and peer coding audits as requestedAssist with monitoring of internal controls for coding and billing.
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Familiarity with dental billing and coding procedures. Graduate from an accredited Dental School (DDS/DMD)Unrestricted license to practice dentistry in the State of ConnecticutDEA certificate/CT Controlled Substance RegistrationCPR certification/Medicaid provider numberExperience with Electronic Dental Records and digital radiography preferredBilingual in Spanish strongly recommendedPhysical requirementsPhysical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into computer, pulling medical records.
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