Billing Specialist

Three Rivers Ambulance Authority • Fort Wayne, IN

11d • Onsite

About The Position

The Billing Specialist may be required to fulfill key billing aspects including but not limited to: primary and secondary claims per regulations and policies, re-processing of denials of claims, and ensuring billing and coding are accurate and correct.

Requirements

• Strong understanding of physiology, medical terms and anatomy
• Strong knowledge of medical billing and coding procedures.
• Associate’s degree or higher and/or two years of equivalent experience
• Minimum of 1 years’ experience in any medical billing and coding industry

Responsibilities

• Greet and provide assistance, guidance and direction to visitors and clients.
• Responsible for the submission or resubmission of primary, secondary, and tertiary claims per respective regulations and policies.
• Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers.
• Complete insurance verification.
• Investigate un-adjudicated claims and complete appropriate follow-up
• Clearly document issues and resolution.
• Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims.
• Maintains confidentiality and adheres to all HIPAA guidelines/regulations.
• Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information.
• Collaborate with Finance Director to coordinate yearly LifeCare enrollment
• Performs other duties as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree