GI Alliance
Full Cycle Medical Billing
Have you got the right qualifications and skills for this job Find out below, and hit apply to be considered. Job Details Job Location:
AUUA Glendale - Glendale, AZ Position Type:
Full Time Job Shift:
Day
Description
Charge Entry Portion: • Post charges daily • Reviews charges for correct coding • Audit codes for potential missed charges • Preparing, reviewing, and transmitting claims using billing EMR • Reconcile missing encounters Prior Auth Portion: • Review EMR chart messaging and review schedules daily for upcoming surgical & in office procedures • Review chart documentations to ensure patient meets medical policy guidelines • Prioritize authorization request according to urgency • Obtain authorization via payer website or by phone and follow up regularly on pending cases • Verify coverage and benefits and calculated any out-of-pocket portions due • Contact patients to review any out-of-pocket portions due prior to surgery AR Follow Up Portion: -Resolve errors and make claim edits assigned in work buckets -Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims -Contact payers and patients when necessary -Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes -Make necessary adjustments to patient demographic, insurance, and account balance information -Complete A/R adjustments where permitted and appropriate: request other adjustments were permitted and appropriate -Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practices
Qualifications
Requirements • Minimum 1 year charge posting, prior authorization and AR follow up experience • Understanding of payer medical policy guidelines to manage authorizations effectively • Proficient use of CPT and ICD10 codes • Detail oriented and above average organizational skills • Plans and prioritizes to meet deadlines • Ability to multitask and remain focused while managing a high volume, time sensitive workload • Interventional Radiology (IR) experience helpful
PIf71cb1f01f80-36310-38546339
Have you got the right qualifications and skills for this job Find out below, and hit apply to be considered. Job Details Job Location:
AUUA Glendale - Glendale, AZ Position Type:
Full Time Job Shift:
Day
Description
Charge Entry Portion: • Post charges daily • Reviews charges for correct coding • Audit codes for potential missed charges • Preparing, reviewing, and transmitting claims using billing EMR • Reconcile missing encounters Prior Auth Portion: • Review EMR chart messaging and review schedules daily for upcoming surgical & in office procedures • Review chart documentations to ensure patient meets medical policy guidelines • Prioritize authorization request according to urgency • Obtain authorization via payer website or by phone and follow up regularly on pending cases • Verify coverage and benefits and calculated any out-of-pocket portions due • Contact patients to review any out-of-pocket portions due prior to surgery AR Follow Up Portion: -Resolve errors and make claim edits assigned in work buckets -Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims -Contact payers and patients when necessary -Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes -Make necessary adjustments to patient demographic, insurance, and account balance information -Complete A/R adjustments where permitted and appropriate: request other adjustments were permitted and appropriate -Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practices
Qualifications
Requirements • Minimum 1 year charge posting, prior authorization and AR follow up experience • Understanding of payer medical policy guidelines to manage authorizations effectively • Proficient use of CPT and ICD10 codes • Detail oriented and above average organizational skills • Plans and prioritizes to meet deadlines • Ability to multitask and remain focused while managing a high volume, time sensitive workload • Interventional Radiology (IR) experience helpful
PIf71cb1f01f80-36310-38546339