Medical Billing Clerk

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    "description": "<p><strong>Definition:</strong></p>\r\n\r\n<p><br />\r\nThe Medical Billing Clerk is responsible for the appropriate billing and coding of assigned accounts. Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors.</p>\r\n\r\n<p><strong>Specific Duties: (some duties may vary depending on PreBill or PostBill job position)</strong></p>\r\n\r\n<ul>\r\n\t<li>Responsible for coding ambulance, wheelchair or stretcher transports.</li>\r\n\t<li>Utilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.</li>\r\n\t<li>Read and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.</li>\r\n\t<li>Submit claims for reimbursement to insurance carriers.</li>\r\n\t<li>Follow up on unpaid claims and initiate claim status inquiries with insurance payers.</li>\r\n\t<li>Work claims and claim denials to ensure maximum reimbursement for services provided.</li>\r\n\t<li>Work with patients to develop self-pay arrangements.</li>\r\n\t<li>Work timely filing and deductible management queues.</li>\r\n\t<li>Meet standard productivity standards.</li>\r\n\t<li>Demonstrate knowledge, understanding and compliance of company policies and procedures.</li>\r\n\t<li>Demonstrate complete knowledge of proper billing and coding procedures</li>\r\n\t<li>Demonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.</li>\r\n\t<li>Work as a team member.</li>\r\n\t<li>Complete and maintain appropriate training, certification and licensure for their position.</li>\r\n\t<li>Maintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.</li>\r\n\t<li>Notify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.</li>\r\n\t<li>Maintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.</li>\r\n\t<li>Notifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.</li>\r\n\t<li>Perform other duties related to billing/coding and account management as directed or needed.</li>\r\n</ul>\r\n",
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Responsible for claim submission, insurance follow-up, denial management, deductible management, timely filing and incoming calls from patients and insurance payors.\\r\\n\\r\\nSpecific Duties: (some duties may vary depending on PreBill or PostBill job position)\\r\\n\\r\\n\\r\\n\\tResponsible for coding ambulance, wheelchair or stretcher transports.\\r\\n\\tUtilize and assign appropriate ICD10, HCPCS and modifiers for ambulance services to each claim.\\r\\n\\tRead and comprehend the content of the patient care report to sufficiently analyze and perform coding to each claim.\\r\\n\\tSubmit claims for reimbursement to insurance carriers.\\r\\n\\tFollow up on unpaid claims and initiate claim status inquiries with insurance payers.\\r\\n\\tWork claims and claim denials to ensure maximum reimbursement for services provided.\\r\\n\\tWork with patients to develop self-pay arrangements.\\r\\n\\tWork timely filing and deductible management queues.\\r\\n\\tMeet standard productivity standards.\\r\\n\\tDemonstrate knowledge, understanding and compliance of company policies and procedures.\\r\\n\\tDemonstrate complete knowledge of proper billing and coding procedures\\r\\n\\tDemonstrate knowledge and understanding of (and compliance with) Federal, State and local laws, rules, regulations, and guidelines as they pertain to reimbursement, collections, and compliance.\\r\\n\\tWork as a team member.\\r\\n\\tComplete and maintain appropriate training, certification and licensure for their position.\\r\\n\\tMaintain a high level of professionalism and customer service when dealing with patients, patient families, co-workers, clients, other healthcare providers and the general public.\\r\\n\\tNotify Billing Supervisor of any lapses in documentation resulting in less than full compliance with compliance and HIPAA standards.\\r\\n\\tMaintain security and privacy of all company and patient information at all times in accordance with HIPAA and all other local, state and federal regulations.\\r\\n\\tNotifies Billing Supervisor of any questions, concerns or issues regarding billing, collections or compliance matters.\\r\\n\\tPerform other duties related to billing/coding and account management as directed or needed.\\r\\n\\r\\n\",\"employmentType\":\"OTHER\",\"hiringOrganization\":{\"@type\":\"Organization\",\"name\":\"PRIORITY ONDEMAND\",\"logo\":\"https://www.paycomonline.net/v4/ats/web.php/application/style/logo?clientkey=1AB3DAD40B6CB1B8A38B904B69BE3810\"},\"jobLocation\":{\"@type\":\"Place\",\"address\":{\"streetAddress\":\"410 Catherine Street\",\"addressLocality\":\"Utica\",\"addressRegion\":\"NY\",\"postalCode\":13501,\"addressCountry\":\"USA\"}},\"qualifications\":\"Minimum Requirements:\\r\\n\\r\\n\\r\\n\\t&nbsp;High School Diploma\\r\\n\\t&nbsp;Experience with Medical Coding (certification a plus)\\r\\n\\t&nbsp;Must have the ability to properly perform job responsibilities as listed\\r\\n\\r\\n\\r\\nReports To:\\r\\n\\r\\n\\r\\n\\tBilling Manager\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPhysical Requirements:\\r\\n\\r\\n\\r\\n\\tThe ability to reach, push and pull.\\r\\n\\tThe ability to sit or stand for long periods of time.\\r\\n\\tThe ability to use a computer keyboard and write for extended periods of time.\\r\\n\\tThe ability to lift and maneuver 35 pounds without difficulty.\\r\\n\\tThe ability to complete all job duties.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nFor this New York, United States-based position, the expected salary is $17.11 - $25.14 per hour.\\r\\n\",\"experienceRequirements\":\"Minimum Requirements:\\r\\n\\r\\n\\r\\n\\t&nbsp;High School Diploma\\r\\n\\t&nbsp;Experience with Medical Coding (certification a plus)\\r\\n\\t&nbsp;Must have the ability to properly perform job responsibilities as listed\\r\\n\\r\\n\\r\\nReports To:\\r\\n\\r\\n\\r\\n\\tBilling Manager\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nPhysical Requirements:\\r\\n\\r\\n\\r\\n\\tThe ability to reach, push and pull.\\r\\n\\tThe ability to sit or stand for long periods of time.\\r\\n\\tThe ability to use a computer keyboard and write for extended periods of time.\\r\\n\\tThe ability to lift and maneuver 35 pounds without difficulty.\\r\\n\\tThe ability to complete all job duties.\\r\\n\\r\\n\\r\\n&nbsp;\\r\\n\\r\\nFor this New York, United States-based position, the expected salary is $17.11 - $25.14 per hour.\\r\\n\",\"industry\":\"Billing / Finance\",\"validThrough\":\"-0001-11-30\"}",
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