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Specialty Biller and Coder
Surgery Partners, IncRemote specialty medical biller and coder resolving disputed physician claims for a healthcare provider. Maintaining billing compliance, correcting discrepancies, and applying Medicare, Medicaid, HCPC, CPT, and ICD-9 knowledge.
Core Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates expertise in medical office billing procedures, including Physician E&M billing and coding, while effectively resolving claim issues and maintaining compliance with regulatory standards. Proficient in utilizing computer systems for data entry and reporting, with strong communication skills to interact with medical staff and external agencies.
ATS Keywords
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About the role
Key responsibilities & impact- Resolve disputed claims by gathering, verifying, providing additional information, and following up on claims
- Resolve discrepancies by examining and evaluating data and selecting corrective steps
- Maintain work operations by following policies and procedures and reporting compliance issues
- Maintain quality results by following company standards
- Update job knowledge through educational opportunities, professional publications, and current Medicaid/Medicare billing and reimbursement procedures
- Perform other assigned duties
- Gather and report claim information
- Solve utilization problems
- Work effectively with medical staff and external agencies
- Identify, analyze, and solve claim issues
- Deal courteously and professionally with internal and external customers
Requirements
What you’ll need- High school diploma
- Minimum of two years of experience with medical office billing procedures
- Knowledge and understanding of Physician E&M billing and coding required
- Knowledge of clinic policies and procedures
- Knowledge of third-party payers, Medicare, Medicaid billing and collections, HCPC, CPT, and ICD-9 coding
- Knowledge of computer systems, programs, data entry, and spreadsheet applications
- Knowledge of medical terminology and analyzing information
- Knowledge of collection practices
- Knowledge of governmental, legal, and regulatory provisions related to collection activity
- Skills in gathering and reporting claim information
- Skills in solving utilization problems
- Skills in written and verbal communication and customer relations
- Skills in working with Windows-based software systems
- Ability to work effectively with medical staff and external agencies
- Ability to identify, analyze, and solve claim issues
- Ability to deal courteously and professionally with internal and external customers
- Billing Certification preferred
- Certified Coder preferred
Benefits
Comp & perks- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!