Location:
220 Popps Ferry Rd Biloxi, MS 39531.
Job Summary:
Monitors assigned encounters to ensure maximum collection of dollars by providing appropriate follow-up and documentation. Collaborates with other department staff in the organization, insurance companies, physician offices, and patients or guarantors. Complies with organization and department policies and procedures.
Required Qualifications:
Education: High School graduate or equivalent.
Licensure: N/A
Experience: One (1) year of experience in patient and medical insurance follow up in a healthcare setting. Certification in Billing or Coding may substitute for experience.
Skills, Knowledge, Abilities: Proficiency with computers and software applications. Knowledge of general office procedures. Knowledge of payor environments, such as managed care; insurance contractual agreements and appeals process. Excellent interpersonal and communication skills. Advanced abilities in basic mathematical skills.
Preferred Qualifications:
Education: Associates degree or completed courses in computer science, communication accounting, billing or coding.
Licensure: Certification in Medical Billing or Coding.
Experience: Experience in commercial; Medicare or Medicaid follow-up.
Skills, Knowledge, Abilities: Ability to work independently. Excellent verbal and writing skills. Knowledge of billing and government programs. Basic knowledge of the Fair Debt Collection Practices Act; f the False Claims Act as it pertains to the Patient Protection and Affordable Care Act, PPACA; general knowledge of ICD-9/10, CPT, and DRG codes; knowledge of the Red Flag Rule, created by the FTC under the Fair and Accurate Credit Transactions Act of 2003.
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