Billing Specialist (Healthcare)

POSITION SUMMARY

This position is responsible for researching, coding, and filing accurate claims in a timely manner while ensuring compliance with payer and regulatory requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Obtain all run reports (trip notes, PCRs, etc.) by paper or electronically for previous days’ transports

• Code claims with appropriate ICD-10 and HCPC codes

• Review each chart for medical necessity

• Request hospital face sheet/demographics, if applicable, to obtain payer or demographic information

• Verify payer information on all transports

• Check appropriate insurance websites and/or contact the patient on all private pay accounts prior to billing

• Enter all claims into the billing system

• Match claims billed against all appropriate logs

• Follow up on rejected and failed claims as needed

• Recognize payer trends and report to management

• Perform other job-related duties as assigned

EDUCATION AND EXPERIENCE

• High school diploma or GED required

• Minimum of six (6) months of medical billing experience required

• EMS billing experience preferred

• Six months of ICD-10 and HCPC coding experience required

• CAC certification preferred

KNOWLEDGE, SKILLS, AND ABILITIES

• Strong attention to detail and accuracy

• Effective verbal communication skills

• Professional phone etiquette

• Ability to maintain any certification applicable to job functions

• Strong organizational skills with a focus on meeting deadlines

PHYSICAL REQUIREMENTS
This position involves extended periods of sitting or standing at a desk while working on a computer and performing repetitive tasks. Occasional lifting of up to 10 pounds may be required.

Emergicon requires satisfactory pre-employment background check and drug screening.

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