Medical Billing Specialist

EMERGICON LLC Terrell, TX DOE
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PRIMARY FUNCTIONS:

The Medical Billing Specialist is responsible for ensuring maximum revenue by accurately filing claims promptly.      

REPORTS TO/SUPERVISES:

The Medical Billing Specialist reports directly to the Billing Manager. This position works collaboratively with other Emergicon personnel in all departments.

ESSENTIAL DUTIES and RESPONSIBILITIES: 

  • Obtain all run reports (trip notes, PCR’s, etc.) by paper or electronically for previous day’s transports
  • Code claims with appropriate ICD-10 & HCPC codes
  • Review each chart for medical necessity
  • Request hospital face sheet/demographics if applicable to obtain payer/demographic information
  • Verify payer information on all transports
  • Check appropriate insurance web sites and/or contact the patient on all private pay accounts prior to billing
  • Enter all claims into billing system
  • Match claims billed against all appropriate logs
  • Resolve all incoming patient and client telephone calls as needed
  • Follow up on rejected claims and failed claims as needed
  • Recognize payor trends and report to management
  • Complete other duties as assigned

 KNOWLEDGE AND EXPERIENCE:

  • High School diploma required
  • Six months of medical billing experience required
  • Six months of ICD-10 & HCPC codes required
  • CAC preferred
  • Detail oriented
  • Strong verbal communication 
  • Maintain any certification applicable to job functions
  • Computer Literacy
  • Professional phone skills

 Emergicon requires pre-employment background and drug screenings.

 

EMERGICON LLC is an EEO employer - M/F/Vets/Disabled
 
 
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