Billing Rep, Pulaski

ConnextCare

Billing Rep, Pulaski

Pulaski, NY (http://maps.google.com/maps?q=61DelanoSt.PulaskiNYUSA13142)

Description

Basic Function: To accurately collect and input billing data into the computer system

Principal Accountabilities:

Enter patient charges into the practice management system

Ensure patient and insurance information accurately into the practice management system

Verify and obtain insurance eligibilities for all patient visits

Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly

Communicate questions in a task to providers regarding documentation and/or billing charges

Print and work Open Encounter Report daily

Work Credit Balance report and Aging reports

Be able to provide estimates, predeterminations and/or outreach

Complete and send out Medicaid threshold forms

Must be able to use the CPT and/or CDT coding book

Act as a backup for the Dental Billing or Billing Representative-payment poster

Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy

Assist in the training of Dental or Billing staff

Assist management in compiling necessary information for audits, both internal and those required by outside entities.

Other duties and responsibilities as may be requested by supervisor and/or management

Cross training for posting explanation of benefits

Post daily Time of Service, collection, slide, daily logs and/or incoming payments

Contact insurance companies to follow up on delinquent claims

Follow up on denied claims by sending claim status requests to appropriate insurance companies

Process claims for service via websites of insurance companies.

Requirements

High school graduate or GED

Must have the ability to maintain the knowledge of coding guidelines

Verbal and written communication skills, office applications preferred

Demonstrate proper judgment and decision making skills

Comply with the organizations code of conduct, safety rules and adheres to all company policies

Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner

Must demonstrate computer proficiency with Microsoft Suite and the practice management system

Must possess the ability to display compassion and work well in stressful situations

Must be keenly aware of the importance of confidentiality in all aspects of the position

Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion

Salary Description

$15.50-$18.00/hour Depending on Experience

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