Performs duties including gathering and verifying patient demographic information, obtaining
correct insurance code information, preparing daily and monthly statistics, and providing admin support.
Not exact matches
Review patient's medical records, for
correct coding and diagnosis, to assure accurate billing and rapid turnaround of claims submitted to the
insurance companies.
Medical Coder • Ensure
corrected input of patient demographic,
insurance and physician information • Handle confirmations of
insurance verifications • Enter CPT and ICD - 9
coding into predefined medical databases • Ensure that all
codes are entered in accordance to company policies and procedures • Double check entered information to ensure accuracy • Make sure that any discrepancies are addressed to immediately • Handle updates on documentation associated with completion of
coding activities
Corrected CPT
codes and diagnoses, verified Medi - Cal eligibility through the State of California Web site, and contacted patients regarding ineligibility and primary
insurance carriers.
• In depth knowledge of verifying billing accounts and verifying and
correcting discrepancies • Strong background in facilitating prompt payments of invoices • Hands on experience in generating financial statements and reports in order to detail the status of accounts receivables • Proficient in soliciting payments from delinquent accounts by employing workable follow - up procedures • Considerable knowledge of evaluating patients» financial statuses and designing appropriate budget plans • Functional knowhow of reconciliation of clients» accounts on a periodic basis • Well versed in handling complex billing structures • Proven ability to interpret billing data and use it to make cost effective decisions • Familiar with popular accounting software such as Deltek • Working knowledge of ICD - 9, CPT and HCPCS • Sound knowledge base of medical terminology and its usage in billing terms • Demonstrated ability to work in a dynamic billing environment prone to detail orientation • Capability of handling billing discrepancies in accordance to the rules and regulations of the organization • Comprehensive understanding of the protocols governing medical billing procedures • Able to build and maintain rapport with patients and
insurance company personnel • Substantial knowledge of Medicare and Medicaid policies • Keen knowhow of medical billing and collection practices • Particularly effective in third party operating systems and basic medical
coding procedures
Most medical assisting programs include a course in
insurance billing and
coding, so you'd put these skills to use in the health
insurance company to make sure that everyone was getting paid the
correct amount of money.
To gain this credential you are questioned on the
correct application of
codes for billing outpatient facility services to
insurance companies.
While a medical coder is responsible for assigning the
correct diagnostic and procedure
codes, the biller uses that information to properly bill patients and
insurance companies for services rendered.