Patient Accounts Specialist

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    "city": "Norfolk",
    "region": "VA",
    "country": "United States",
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    "datePosted": "2024-06-06T20:18:53.661Z",
    "description": "<h2>Overview</h2>\n<p>Perform duties in the billing division related to all aspects of the revenue cycle to include data entry, denials, patient interaction, patient account research, and insurance follow-up and extracting appropriate CPT and ICD-10 codes.</p>\n<h2>Responsibilities</h2>\n<ul>\n <li>Review H&P and surgeon’s documentation for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.</li>\n <li>Researches and analyzes data needs for reimbursement.</li>\n <li>Analyzes medical records and identifies documentation deficiencies.</li>\n <li>Serves as resource and subject matter expert to other coding staff.</li>\n <li>Reviews and verifies that documentation supports diagnoses, procedures and treatment results.</li>\n <li>Identifies diagnostic and procedural information.</li>\n <li>Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.</li>\n <li>Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.</li>\n <li>Follows coding conventions. Serves as coding consultant to care providers.</li>\n <li>Identifies discrepancies, potential quality of care, and billing issues.</li>\n <li>Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.</li>\n <li>Identifies reportable elements, complications, and other procedures.</li>\n <li>Assists in orienting and training staff.</li>\n <li>Provides ongoing training to staff as needed.</li>\n <li>Create charge encounters by entering CPT and ICD10 codes in the Electronic Health Record (EHR) system.</li>\n <li>Research and resolve insurance denials </li>\n</ul>\n<ul>\n <li>Process – posting claims and manage/work rejections </li>\n <li>Review claim and discuss overdue balance with patients.</li>\n <li>Register and Update patient demographics in IDX</li>\n <li>Calculate patient deductibles and co-insurance payment amount</li>\n <li>Develop payment plans and make payment arrangements for outstanding balances  </li>\n <li>Assists patients/customers with insurance information and balances</li>\n</ul>\n<ul>\n <li>Handles special projects as requested</li>\n</ul>\n<ul>\n <li>Ensures doctor(s) submit notes in a timely manner in order to process claims efficiently.</li>\n <li>Verifies insurance information by calling carrier if applicable.</li>\n <li>Responds to inquiries from patients and researches accounts.</li>\n <li>Must possess the ability and skill to independently work in a team environment. </li>\n <li>Performs other duties as assigned. </li>\n</ul>\n<h2>Qualifications</h2>\n<p>Prior experience working with CPT & ICD 10 coding and billing required. Current CPC certification is required, or must obtain within 1 year of employment.  </p>\n<p>Medical applications software experience, Allscripts/IDX preferred. Experience with linking ICD10 to CPT codes to support medical necessity. Knowledge of payor guidelines. Experienced with using modifiers. Ability to extract a written diagnosis from the medical record to assign an ICD10 code.  </p>\n<h2>Location : Location</h2>US-VA-Norfolk",
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          "addressRegion": "VA",
          "streetAddress": "825 Fairfax Avenue",
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    "validThrough": "2027-06-06T20:18:53.661Z",
    "employmentType": "FULL_TIME",
    "salaryCurrency": "USD",
    "hiringOrganization": {
      "name": "Eastern Virginia Medical School",
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      "sameAs": "www.evms.edu"
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