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POSITION SUMMARY: The Medical Billing Specialist (MBS) is responsible for timely, accurate and comprehensive billing of all provider services utilizing appropriate CPT, HCPCS and ICD-10 diagnosis codes.
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Knowledge of managed care finance principles and medical coding, including ICD-9, CPT, and HCPCS. Technical expertise in Business. Valid California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate a vehicle and travel for company business.
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Schedules patient appointments and collects pre-registration information, reviews and verifies eligibility of insurance. Preferred: Graduate of an Accredited Medical Assistant program or has obtained a Medical Assistant Certification (AAMA, CCMA, RMA, NCMA.
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Experience in medical billing, working with insurance companies, using electronic health records, clearinghouse(s), CPT codes, ICD-10 codes, and medical terminology strongly preferred.
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Insurance knowledge requirements including: -Understanding of medical terminology -Managed care authorization process -ICD9 and CPT codes -Collection experience -Ability to calculate and collect patients responsibility and insurance co-pay/coinsurance#AON.
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Previous registration, medical insurance background, medical terminology and knowledge of CPT codes required. The Patient Registration Specialist is responsible for registering patients in, gathering complete data necessary to assure timely reimbursement, collects out of pocket insurance fees and completes accurate registrations.
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Knowledge and Skills: Must have working knowledge of all insurance types and their billing guidelines, working knowledge of CPT and ICD-9 coding and the ability to read and interpret EOB's.
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Bilingual in English and Spanish proficiency+ An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH+ 1 or more years of Medical Assistant experience in 'back-office' direct patient care+ Experience with HEDIS and ICD/CPT coding+ Hands-on professional Phlebotomy experience+ Experience with Electronic Medical Records+ Experience in a fast paced/high volume environment.
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Work Experience: One year or more experience in a medical office working with insurance claims. Assigns ICD-10, CPT, and HCPCS codes based on provider documentation. Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.
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Knowledge of medical terminology, ICD-10, and CPT coding and insurance polices. Job Summary: The Medical Billing Clerk will be responsible for accurately and efficiently processing medical claims and invoices.
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Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification process. The Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist Physicians.
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Medical, vision, dental health insurance, health savings account / flexible spending, competitive pay, paid time off, 401k retirement plan with company match, employee assistance program and more.
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Health benefits include: Medical and prescription drug insurance, dental insurance, vision insurance, critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation program.
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Knowledge of medical terminology, ICD-10 and CPT coding required. Minimum of two years of experience in a medical billing environment working with insurance and patient claims processing required.
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Ensures that pre-certification and/or authorization and referral requirements have been completed by placing phone calls to insurance companies, physician offices, patients, and utilizing web based applications and/or internet resources; obtains clinical information from physician offices and/or Bryan system; contacts BPN coding staff to obtain CPT and/or ICD-9 codes.
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