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  • Job ID 18894
  • Date posted 10/23/2020

Verify contractual write offs in PAS, then submit claims to electronic clearing house. Upload claims to electronic clearing house and work any upfront rejections. Back up to the Payment Posting Department.

Required Experience:
  • Experience
    • Two years previous experience in Ambulatory or Hospital billing, payment posting preferred. Computer experience required
    • Must have the skills necessary to operate the office equipment required to fulfill job duties
    • Forty-five (45) wpm typing skills
    • Medical terminology and computer experience beneficial
    • Knowledge of CPT and ICD-10 codes
  • Advantx Procedures
    • Ability to interact with team members, management and facility
    • Knowledge of procedures for Refund checks
    • Knowledge of Advantx registration, billing transaction modules.
    • Knowledge of billing /payment posting procedures
    • Knowledge of facility Managed Care Contracts
    • Knowledge of required detailed accurate information policies and procedures
    • Notify Facility and/or Management of any discrepancies
    • Scan documents for non-Scan Chart facilities daily to shared drive
    • Submits paper and electronic claims daily
    • Understands all areas covered in Registration/Case History
    • Understanding and basic knowledge of CPT and ICD.10 codes
    • Verifies data for accuracy
    • Verifies proper Managed Care Plan and contract allowable
    • Works with teammates to ensure all deadlines are met
  • Scan Chart
    • Ability to research documents through patient search, schedule, payments, and charge entry
    • Knowledge of billing procedures
  • Month End
    • Ensures all cases have been billed.
    • Ensures all prepayments are posted to accounts after give the open for new business email. (Run a self-pay aging by carrier to ensure all balance have been transferred to patient). When necessary back-up payment posting
    • Run required Advantx reports for assurance all cases are complete and give to Management. (appt. billing analysis, cases by surgeon(1 performed and 1 pending), insurance payment analysis)
    • Reports any discrepancies to Manager
  • Waystar
    • Efficient with payer/name matching
    • Ensure batches are up loaded and accepted by Waystar
    • Submits claims daily through Waystar
    • Waystar rejections are worked daily

Addison, Texas

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