Billing Specialist (Practice)

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    "description": "<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">POSITION:</span></strong><span style=\"font-family:Calibri, sans-serif;\">  Billing Specialist (Practice)</span></span></p>\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">RESPONSIBLE TO: </span></strong><span style=\"font-family:Calibri, sans-serif;\">Practice Manager</span></span></p>\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">JOB SUMMARY:</span></strong>  <span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">This position will be responsible for scrubbing claims for accuracy in billing. This position will be charged with retrieving, approving, batching, and scrubbing claims to avoid errors that would cause the claim to reject or deny.</span></span></span></p>\n<p> </p>\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:</span></strong></span></p>\n<ul>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Retrieve claims from the Electronic Medical Records (EMR).</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Review EMR documentation where appropriate.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Diagnosis coding for known appropriateness for the visit and for the carrier guidelines.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Ensure charges, diagnosis pointers, modifiers, and NDCs (if necessary) are correct and there are no duplicates.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Ensure that the correct provider, site, insurance, filing type, and referrals/authorizations are selected.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Work exceptions caught by system scrubbing.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Work Front End Rejections.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Communicate with appropriate person(s) with any questions or concerns. This could include - but not limited to - hub personnel, provider, coding team and others within the CBO.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Approve and batch claims.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Periodically check for Unretrieved Charges.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Communicate with others of observed trends.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Recognizing the need for additional scrub rules based on trends.</span></span></span></li>\n</ul>\n\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">OTHER</span></strong></span></p>\n\n<ul>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Ability to work independently and as part of a team with the capability to shift between projects while maintaining productivity and efficiency.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Attends Medicare and other continuing education courses as requested. Pursue and participate in education to remain current with changes in the Healthcare industry.</span></span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Maintain patient confidentiality, comply with HIPAA and compliance guidelines established by the practice to keep information confidential.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Maintains detailed knowledge of practice management and other computer software as it relates to job functions.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Attends all meetings as requested including regular staff meetings.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance &amp; Privacy or via the AP EthicsPoint hotline.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">Models the AP Code of Conduct and demonstrates a commitment to the AP Compliance Program, standards, and policies.</span></span></li>\n\t<li><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">All other projects and duties as assigned.</span></span></li>\n</ul>\n\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">SUPERVISORY RESPONSIBILITIES</span></strong></span></p>\n\n<p><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\">This position does not have any supervisory duties. </span></span></p>\n\n<p><span style=\"font-family:'Times New Roman', serif;\"><strong><span style=\"font-family:Calibri, sans-serif;\">TYPICAL PHYSICAL DEMANDS</span></strong></span></p>\n\n<p><span style=\"font-family:'Times New Roman', serif;\"><span style=\"font-family:Calibri, sans-serif;\"><span style=\"color:#000000;\">Physical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye -hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports.</span></span></span></p>",
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