To
understand medical billing services you must know what medical billers are, e.g. medical billers are not medical coders.
Not exact matches
• Complete
understanding of
medical terminology,
billing and coding, and providing patient - centric
service and support as well as critical follow up on all insurance claims and eligibility issues.
The truth is that these vendors are in the business of selling you the home - based
medical billing business model, a few of the things you will need to run the business, a useless list of physicians that they claim are in dire need of your
services, and, if you are lucky, they may provide you with some
medical billing education so you feel you
understand what you are doing.
HIGHLIGHTS OF QUALIFICATIONS • 2 + years» experience working as a
Medical Biller and Coder for Green Care Services • Highly skilled in coding and abstracting medical records by adhering to preset policies and guidelines • Hands on experience in using all popular coding software • Proficient in carrying out the business use of computer hardware and software to ensure quality of processing • Thorough understanding of ICD -9-CM and CPT - 4 coding guidelines • In depth knowledge of coding resources and tools, including 3M encoder / grouper and PwC O
Medical Biller and Coder for Green Care
Services • Highly skilled in coding and abstracting
medical records by adhering to preset policies and guidelines • Hands on experience in using all popular coding software • Proficient in carrying out the business use of computer hardware and software to ensure quality of processing • Thorough understanding of ICD -9-CM and CPT - 4 coding guidelines • In depth knowledge of coding resources and tools, including 3M encoder / grouper and PwC O
medical records by adhering to preset policies and guidelines • Hands on experience in using all popular coding software • Proficient in carrying out the business use of computer hardware and software to ensure quality of processing • Thorough
understanding of ICD -9-CM and CPT - 4 coding guidelines • In depth knowledge of coding resources and tools, including 3M encoder / grouper and PwC OP SMART
Desired Skills: * Must have experience working with dental,
medical, or other health - care insurance
billing * Must
understand various insurance plans and able to read and
understand Explanation of Benefits (EOBs) * Excellent phone skills * Superior customer
service skills
The Insurance
Billing Coordinator we hire must have at least 1 - 2 years of dental, medical, or other health - care billing experience; understanding of EOB's and various insurance plans; and exceptional customer service
Billing Coordinator we hire must have at least 1 - 2 years of dental,
medical, or other health - care
billing experience; understanding of EOB's and various insurance plans; and exceptional customer service
billing experience;
understanding of EOB's and various insurance plans; and exceptional customer
service skills.
• Assess all insurance claims against patient
services rendered and make a to do list • Assist patients in filling our insurance claim forms and verify form data • Ask questions to assist in determining out any ambiguous information • Verify completeness of information on
medical insurance forms • Post insurance
billing information data into predefined database systems • Make list of insurance companies to contact for
billing purposes • Determine how to approach each insurance company on the list, based on its reputation • Contact insurance companies to determine status of claims • Follow up on unpaid claims, including denial, exceptions and exclusions • Ask why claims have been denied and provide relevant correlating information • Resubmit denied claims with additional information to prove denial is inappropriate • Provide information to collection agencies regarding delinquent or past due accounts • Prepare and submit secondary claims for patients with more than one insurance coverage • Maintain
understanding of managed care authorizations and limit coverage to a certain number • Verify patients» benefits eligibility and coverage expanse • Maintain knowledge of ICD9 and CPT treatments to be able to handle data entry and claim check duties appropriately • Gather and maintain patient data including
medical histories, insurance identification and diagnosis
SUMMARY OF QUALIFICATIONS • Three years of experience providing clerical
services in busy healthcare settings • Good understating of the
medical information and
billing systems • Excellent knowledge of
medical terminology and procedures • Profound experience in preparing patient admission papers • Good
understanding of promoting positive public relations with outside agents • Computer — MS Office Suite • Bilingual — English and Polish
Understanding the basics of the medical billing process is really the first step in understanding how medical providers get paid for th
Understanding the basics of the
medical billing process is really the first step in
understanding how medical providers get paid for th
understanding how
medical providers get paid for their
services.
Medical billers who want to start their own medical billing home business should thoroughly research the current market trends in their community to determine whether there is indeed a need for their services and understand their local and stat
Medical billers who want to start their own
medical billing home business should thoroughly research the current market trends in their community to determine whether there is indeed a need for their services and understand their local and stat
medical billing home business should thoroughly research the current market trends in their community to determine whether there is indeed a need for their
services and
understand their local and state laws.
Medical Billing Specialist — Duties & Responsibilities Manage medical billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
Medical Billing Specialist — Duties & Responsibilities Manage medical billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
Billing Specialist — Duties & Responsibilities Manage
medical billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
medical billing, coding, and customer service operation for industry leading corporations Develop extensive experience with all major medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
billing, coding, and customer
service operation for industry leading corporations Develop extensive experience with all major
medical insurance providers Provide exceptional customer service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims, billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
medical insurance providers Provide exceptional customer
service resulting in 100 % client satisfaction rating Maximize reimbursements and minimize costs through effective management Serve as member of Rate Book Committee overseeing 80,000 outpatient third party accounts Recruit, hire, and train staff ensuring
understanding of company brand, policies, and procedures Responsible for $ 100 million per year in company income and company record of $ 46 million in one month Oversee financial management providing best practices and strategic planning Build and strengthen relationships with third party payors including Medicare, Medicaid, and others Author and present reports to senior leadership regarding company financial health Set and strictly adhere to departmental budgets and project timelines Ensure compliance with applicable laws and industry regulations Establish and maintain detailed records regarding claims,
billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer service, and revenue generation Study internal literature to become an expert on products and services Represent company brand with poise, integrity, and pos
billing, and client information Create and implement clinical and nonclinical team training activities Consistently promoted for excellence in management, customer
service, and revenue generation Study internal literature to become an expert on products and
services Represent company brand with poise, integrity, and positivity
Administrative Assistant — Duties & Responsibilities Provide administrative support
services across a variety of highly technical fields Represent company brand with poise, integrity, and positivity Coordinate reappointment and re-credentialing process for allied healthcare providers Oversee applications, primary source verification, and outstanding information retrieval Perform legal research and writing on a variety of
medical compliance topics utilizing LexisNexis Direct the layout, print, and distribution process for forty
medical publications Strictly adhere to all department budgets and project timelines Manage calendars, travel arrangements, and complete itineraries for senior leadership Handle accounts receivable, accounts payable, QuickBooks,
billing, and reimbursements Responsible for tracking and replenishing office supplies and information technology hardware Create presentations, charts, and reports regarding organizational structure, workflow, and efficiency Direct logistical aspects of company events including venue, registration, A / V, and refreshments Implement new electronic recordkeeping software to streamline processes and enhance security Study internal literature to become an expert on products and
services Develop and strengthen relationships with outside vendors, partners, customers, and community leaders Train new team members ensuring they
understand the brand and adhere to company policies and procedures Encourage high customer retention by maintaining friendly, supportive contact with existing clients Skilled in Microsoft products, Visio, Lotus Notes, GroupWise, C++, HTML, Oracle, VBA, and VB.NET
Administrative Assistant — Duties & Responsibilities Provide administrative support across a variety of industries including education, accounting, and medicine Train new team members ensuring they
understand the brand and adhere to company policies and procedures Oversee daily office administration resulting in efficient, effective, and on - budget operations Represent company brand with poise, integrity, and positivity Study internal literature to become an expert on products and
services Manage travel arrangements, itineraries, and other logistics for company leadership and clients Develop and strengthen relationships with outside vendors, partners, customers, and community leaders Responsible for accounts receivable, accounts payable, payroll, and company budgets Oversee
medical billing, confidential patient records, and
medical team support Responsible for the development and implementation of emotional, physical, and developmental plans for patients Strictly adhere to all department budgets and project timelines Provide data entry,
billing, and client account maintenance
services Manage corporate correspondence and reception duties including telephone and in - person
service Responsible for tracking and replenishing office supplies and products Craft employee handbooks, staff development programs, and recognition programs Provide exceptional in - person, telephone, and internet customer
service resulting in client satisfaction Encourage high customer retention by maintaining friendly, supportive contact with existing clients