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Billing Specialist
Ear, Nose & Throat AssociatesBilling Specialist responsible for coding, compliance, and billing operations in a physician office. Collaborating with management and physicians while ensuring quality and efficiency in billing processes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient billing and collections, including proficiency in Medical Terminology, CPT-4, ICD-10, and HCPCS coding. Effectively communicates with patients and healthcare professionals while ensuring compliance with Federal Payer documentation guidelines.
Highest-signal resume keywords
Patient Billing and CollectionsCPT-4 Procedure CodingICD-10 Diagnostic CodingHCPCS CodingPhysician Practice Management System
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient BillingClaims SubmissionA/R Follow-UpClean Claim ProductionDenial ManagementAppeals ProcessMedical TerminologyCPT-4 CodingICD-10 CodingHCPCS Coding
Soft Skills
Effective CommunicationTeam CooperationCourteous InteractionProblem IdentificationRegular Attendance
Tools & Technologies
A/R Follow-Up SystemsPhysician Practice Management SystemWindows Applications
Industry Keywords
Federal Payer ComplianceBilling ProceduresEOB ProcessingClaim Follow-UpPayer Contracts
About the role
Key responsibilities & impact- Responsible for understanding all aspects of coding, quality assurance and compliance with Federal Payer documentation guidelines
- Works closely with departmental management and coordinates with Physicians
- Posting, clean claim submission to clearing house, denials, appeals, follow-up on claims until payment received
- Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal
- Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer contract
- Applies appropriate discounts/courtesies based on department policy
- Processes daily mail, edits reports, file or pull EOB batches
- Identifies and informs Manager of issues or problems associated with non-payment of claims
- Contacts payors or patients as appropriate for corrective action to resolve the issues and receive payment of the claims
Requirements
What you’ll need- High School education or GED equivalent
- Minimum of 2 years’ experience in physician office performing patient billing and collections required
- Previous computer skills on Physician Practice Management System and/or windows application with mouse
- Ability to communicate effectively with patients, physicians, and staff in a courteous manner
- Medical Terminology including CPT-4 procedure coding
- ICD-10 diagnostic coding, and HCPCS coding preferred
- Ability to attend work on a regular basis
- Ability to adhere to safety rules and other reasonable regulations pertaining to the job
- Ability to refrain from negativity or excessive irritability
- Ability to work in cooperation with other workers
Benefits
Comp & perks- Option to work from home after training has been completed
- Flexibility
- Quality performance of the essential job functions to help the practice run effectively and efficiently