Details
 

01/13/2015

Medical Billing Specialist

Kalamazoo, MI

Physician Based Practice in Kalamazoo Seeking a Full Time Medical Billing Specialist

Qualifications:

• At least three years experience with accounts receivable and billing departments. Knowledge of medical terminology required.
• CPC certification preferred.
• Demonstrate knowledge and understanding of healthcare reimbursement procedures. ICD-9, CPT, HCPCS coding knowledge required.
• Working knowledge of managed care, Medicare, BCBS, and third party insurance procedures and guidelines required.
• Personal computer experience required.
• Ability to communicate, both oral and written, with staff, patients, and third party payor representatives.
• Ability to work tactfully and compassionately with terminally ill patients and their families and/or care givers.
• Ability to organize, prioritize and work independently as well as schedule and produce work in a timely manner; also ability to concentrate and pay close attention to details.

Description:

• Make a difference. Each day look to make a difference for your co-workers and patients. 
• Review and transmit claims electronically, as well as prints and mails paper claims in a timely manner.
• Identifies and corrects inaccuracies, including coding and demographic errors. 
• Maintain up to date knowledge and understanding of procedures related to Medicare, Medicaid, BCBS, and third party insurance billing and reimbursement. 
• Respond promptly and accurately to third party payors’ requests for additional information necessary to process claims.
• Updates and adjusts patient accounts as necessary.
• Initiates refunds and overpayments when necessary to patients and insurance companies.
• Processes and posts patient and insurance company reimbursement payments when necessary.
• Resolves all issues or discrepancies regarding payments and claim denials in a timely manner.
• Assists the Billing Manager with special requests as needed.
• Maintains the confidentiality of all patient, employee, physician, institutional related information. Ensures patients/caregivers are treated with dignity and respect.
• Maintains a level of productivity that supports quality, efficient, cost effective functioning of WMCC.
• Willingly participates in the performance improvement process, continually looking for ways to improve the processes, including identifying problems and facilitating solutions identification and implementation.
• Adheres to the mission, vision, and all policies of WMCC.
• Perform all other duties as required and assigned.

Please apply by going to: https://workforcenow.adp.com/jobs/apply/posting.html?client=wmcc1

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