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Irrigation Technician

Connexin Software

Irrigation Technician

Fort Washington, PA
Paid
  • Responsibilities

    THE MEDICAL BILLING SPECIALIST WORKS WITH OUR PEDIATRIC EXTENDED FAMILIES AND OUR BILLING DEPARTMENT. AS A MEDICAL BILLING SPECIALIST YOU WILL USE YOUR MEDICAL BILLING PROCEDURE KNOWLEDGE ICD10 AND CPT CODE EXPERIENCE TO GATHER BILLING INFORMATION BY REVIEWING PHYSICIAN CREATED SUPERBILLS, CHECKING FOR COMPLETENESS AND PROCESS FIRST-STAGE ACKNOWLEDGEMENTS. CHECK OUT YOUR OTHER DUTIES

    • Run Day sheets
    • Promptly repair and/or resubmit any claim batches that are not acknowledged within 24 hours or initial submission
    • CONVERT SUPERBILLS THAT ARE READY TO BE BILLED TO CLAIMS AND APPLY PROPER MODIFIERS IF NOT BLOCKED AND SUBSTITUTED
    • Check previous days to see if older superbills have become ready to be billed
    • Read and answer all messages sent by office
    • Bill carriers by inputting billing information into Office Practicum and initiating electronic transmissions
    • Submit insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 forms
    • Log into Clearinghouses and check previous days’ claims that were submitted, if any rejections, fix immediately (if fixed in clearinghouse, also fix claim in OP)
    • Ensure all claims are submitted with a goal of zero errors
    • Enter hospital charges (if any)
    • Provide client feedback on any coding errors or omissions
    • Resolve discrepancies by consulting with physicians to examine and evaluate data, selecting corrective steps

    Required Skills

    • Three to five years electronic Medical Billing experience in a non-hospital setting
    • Medical Billing Certificate preferred
    • Experience working in a billing service environment
    • Experience in pediatric clinical settings a plus
    • Experience working in a team-oriented, collaborative environment
    • Knowledge of Insurance carrier payment policies, practices and amounts
    • Working knowledge and application of ICD-10, CPT and HCPCS coding
    • Must be comfortable working with different systems and software applications
    • Ability to effectively prioritize and execute tasks while under pressure
    • Active listening, interpersonal written and oral communication skills needed
    • Knowledge of applicable data privacy practices and laws necessary

    Required Experience

  • Qualifications
    • Three to five years electronic Medical Billing experience in a non-hospital setting
    • Medical Billing Certificate preferred
    • Experience working in a billing service environment
    • Experience in pediatric clinical settings a plus
    • Experience working in a team-oriented, collaborative environment
    • Knowledge of Insurance carrier payment policies, practices and amounts
    • Working knowledge and application of ICD-10, CPT and HCPCS coding
    • Must be comfortable working with different systems and software applications
    • Ability to effectively prioritize and execute tasks while under pressure
    • Active listening, interpersonal written and oral communication skills needed
    • Knowledge of applicable data privacy practices and laws necessary