University of Wyoming MBA

Medical Billing and Coding

• Promote continuity of medical care and ensure compliance with third-party reimbursement policies, regulations and accreditation guidelines.
• Perform tasks related to provider services to include edit reviews and claim resolution.
• Review and enter charges based on documentation in the record.
• Review claims, edit work queues, determine the corrective action necessary to resolve claims and complete accurate, timely and compliant billing.
• Resubmit claims as a daily task.
• Submit claims to the patient’s secondary insurance (including the primary carrier’s EOB) after receiving the correct payment from the primary carrier.
• File UB-04 and HCFA 1500 claim forms to insurance.
• Review and submit resident claims to ensure all billing guideline requirements are met.
• Serve as backup for Patient Account Representatives or other specialists.

Medical Billing Specialist