Job Description & Responsibilities:
Essential Duties and Responsibilities : include the following. Other duties may be assigned, as necessary. Perform pre-bill review to ensure that authorization is documented where necessary. Ensure that coding on claims follows payer guidance. Ensure accurate billed and expected charges do not exceed usual and customary or contractual pricing where indicated. Create and submit primary and secondary pharmacy and medical claims promptly. Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. Communicate any billing-related issues to all appropriate departments. Ensure coding to the highest level of specificity and for maximum reimbursement by third-party payers. Maintain current knowledge of departmental and organizational policies. Support billing staff in training and ongoing education when required Consistently professionally represents the company. Maintains effective working relationships and cooperates with all personnel in the Company. Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies. Performs other duties and responsibilities as assigned.
Qualifications:
Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. Provide the highest level of professionalism, responsiveness, and communication. Must possess the ability to multi-task and frequently change direction. Proficient in the use of a computer and other devices. Education and/or Experience: High school diploma or GED. Ability to work independently and within a multidisciplinary team. Basic math, bookkeeping, and accounting skills. 1-3 years of experience in medical billing. Understanding of industry-specific policies, such as HIPAA regulations for healthcare.
Salary:
$25/hr - $30/hr (DOE)
Contact:
Employer: CSI Pharmacy
Location: Remote
Link: https://jobs.csipharmacy.com/job/united-states/billing-specialist/45123/95128820016