Job Information
Robert Half Surgery Medical Billing Collections Specialist in Los Angeles, California
Description
A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.
DUTIES AND RESPONSIBILITIES
-Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.
-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.
-Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.
-Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.
-Work on the Athena Work Dashboard / Claim list on a daily basis for all OIC services assigned.
-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.
-Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.
-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.
Reviews all surgical operative reports and assigns appropriate CPT codes and ICD-10-CM codes for services performed by staff surgeons.
Requirements
medical billing, surgery
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