Medical Billing Clerk at PRIORITY ONDEMAND

Utica, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Apr, 26

Salary

25.14

Posted On

01 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Coding, Claim Submission, Insurance Follow-Up, Denial Management, Deductible Management, ICD10, HCPCS, Modifiers, Patient Care Report Analysis, Customer Service, HIPAA Compliance, Teamwork, Billing Procedures, Documentation, Reimbursement, Self-Pay Arrangements

Industry

Hospitals and Health Care

Description

Job Details Job Location: Utica, NY 13501 Position Type: Priority Ambulance Salary Range: $17.11 - $25.14 Hourly Job Category: Billing / Finance Definition: The Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors. Specific Duties: (some duties may vary depending on PreBill or PostBill job position) Responsible for coding ambulance, wheelchair or stretcher transports. Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim. Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim. Submit claims for reimbursement to insurance carriers. Follow up on unpaid claims and initiate claim status inquiries with insurance payers. Work claims and claim denials to ensure maximum reimbursement for services provided. Work with patients to develop self-pay arrangements. Work timely filing and deductible management queues. Meet standard productivity standards. Demonstrate knowledge, understanding and compliance of company policies and procedures. Demonstrate complete knowledge of proper billing and coding procedures Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance. Work as a team member. Complete and maintain appropriate training, certification and licensure for their position. Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public. Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards. Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations. Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters. Perform other duties related to billing/coding and account management as directed or needed. Qualifications Minimum Requirements: High School Diploma Experience with Medical Coding (certification a plus) Must have the ability to properly perform job responsibilities as listed Reports To: Billing Manager Physical Requirements: The ability to reach, push and pull. The ability to sit or stand for long periods of time. The ability to use a computer keyboard and write for extended periods of time. The ability to lift and maneuver 35 pounds without difficulty. The ability to complete all job duties. For this New York, United States-based position, the expected salary is $17.11 - $25.14 per hour.

Responsibilities

The Medical Billing Clerk is responsible for billing and coding of assigned accounts, including claim submission and follow-up. They ensure compliance with billing procedures and manage patient interactions regarding payments.