Medical Billing /Coding Specialist

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    "requisitionDescription": "<div><p><strong>Position Summary: WORK ON SITE</strong></p><p><strong>&nbsp;</strong></p><p>A wonderful and exciting career opportunity for a Medical Billing and Coding Specialist&nbsp;is now available with a prestigious and growing FQHC&nbsp;Federally Qualified Health Center in historic Aiken, South Carolina!</p><p>We are seeking a qualified and dedicated medical coding &amp; billing specialist to join our administrative office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. Under the direction of the RMCM our medical coding &amp; billing specialist&rsquo;s daily duties will include maintaining billing software, appealing denied claims, and recording payment, claims follow up, and denial resolution.</p><p>The ideal candidate must also be able to demonstrate excellent written/verbal communication skills, analytical decision making, work independently as well as part of the team. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies.</p><p><strong>Essential Functions/Responsibilities:</strong></p><ul type=\"disc\"><li>Processes billings to patients and third-party reimbursement claims; maintains supporting documentation files and current patient addresses.</li><li>Processes patient statements and insurance explanation of benefits, keys data, posts transactions and adjustments; and verifies accuracy of input to reports generated.</li><li>Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems. Submits correction request forms to appropriate staff members.</li><li>Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.</li><li>Posts and reconciles payments to patient accounts and general ledgers.</li><li>Balances and posts daily batches and reports.</li><li>Provides patients with needed information and ensures patient confidentiality.</li><li>Maintains patient demographic information and data collection systems.</li><li>Performs a variety of general clerical duties, including telephone reception, courier, and other routine functions.</li><li>May assist in preparing patient statements, documentation and responses for legal inquiries, litigation, and court appearance.</li><li>Ensures strict confidentiality of financial records.</li><li>Performs miscellaneous job-related duties as assigned.</li><li>&nbsp;</li></ul><p><strong>&nbsp;Performance Improvement Activities/Safety/Infection Control Activities</strong></p><ul type=\"disc\"><li>Participates in the community health center&rsquo;s quality assurance activities and performs duties in accordance with applicable standards.</li><li>Ensures an appropriate environment for the administration of health care activities and keeps workstation, all equipment, and other work areas in a clean, safe, and orderly fashion.</li><li>The ability to carry out the assigned duties independently or with only minimal supervision.</li><li>The ability to read medical, legal, and insurance documents.</li><li>The ability to establish and maintain appropriate filing system for the retrieval of needed information.</li><li>The ability to communicate and relate effectively to staff, patients, and representative of third-party payers and the ability to work as a &ldquo;team&rdquo; member of the medical office staff.</li><li>The ability to prioritize multiple tasks and perform efficiently and effectively in a stressful environment.</li><li>The ability to be bonded for the handling of cash receipts.</li><li>A minimum of two years of experience in a primary health care, or equivalent, environment.</li><li>Demonstrate the ability to deal with the public.</li><li>Ability to prioritize multiple tasks and perform efficiently and effectively in a stressful environment.</li><li>The ability to use required office machines and personal computers.</li><li>The ability to communicate with the public, the patients, and the staff in a professional manner.</li></ul><p><strong>Minimum Education Required:</strong></p><ul type=\"disc\"><li>High school graduate or equivalent.</li><li>CPC Certification</li></ul><p><strong>Preferred Qualifications:</strong></p><ol start=\"6\"><li>Two (2) years&rsquo; experience in a medical billing position</li></ol><p>&nbsp;</p><h3>&nbsp;</h3><p><strong>DISCLAIMER</strong></p><p><strong>&nbsp;</strong></p><p>This job description indicates the general nature and level of work expected of the incumbent. &nbsp;It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. &nbsp;Incumbent may be asked to perform other duties as required and the responsibilities of the position may change.</p></div>\n",
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