Pafford Emergency Medical Services
Medicare Billing Associate-Hybrid
Pafford Emergency Medical Services, Oklahoma City, Oklahoma, United States, 73116
Job Title
Medicare Billing Associate
Work Location Pafford Medical Services, Inc. – Oklahoma City
Division/Department PMBS
Reports To Medicare Billing Lead
Full-Time Nonexempt
Job Description Responsible for processing, researching, analyzing, and managing ambulance claims for assigned payor types.
Essential Duties and Responsibilities
Ensure claims are billed on a timely basis
Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations.
Work with commercial insurance, Medicare, Medicaid, HMO's and clients to collect all balances
Manage actions related to delinquent accounts and minimizes write-offs
Provide technical assistance to staff for training purposes and problem solving
Achieve performance goals and objectives (individual or departmental) as established by the manager
Manage resources to meet department goals
Communicate effectively with all levels of staff
Other tasks as needed.
Qualifications
Knowledge of Medicare, Medicaid, private insurance, HMO's and hospice billing
Analyzed accounts receivable for accuracy and filed reconsideration on denied claims.
Submit, adjust, and void Medicare and Medicaid claims efficiently.
Experience working with insurance portals
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Working knowledge of medical terminology/ICD-10 codes, preferred
Knowledge of medical terminology
Ability to work independently and with a group
Education and Experience Requirements
High School Diploma or equivalent
Other Requirements
Must have access to high-speed internet-at least 20mbps download, and must be hardwired
In person and hybrid in the Oklahoma City area
Physical Requirements
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception,and the ability to adjust focus.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
Must be able to talk, listen and speak clearly on telephone.
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.
Travel Time Negligible
NOTE The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.
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Work Location Pafford Medical Services, Inc. – Oklahoma City
Division/Department PMBS
Reports To Medicare Billing Lead
Full-Time Nonexempt
Job Description Responsible for processing, researching, analyzing, and managing ambulance claims for assigned payor types.
Essential Duties and Responsibilities
Ensure claims are billed on a timely basis
Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations.
Work with commercial insurance, Medicare, Medicaid, HMO's and clients to collect all balances
Manage actions related to delinquent accounts and minimizes write-offs
Provide technical assistance to staff for training purposes and problem solving
Achieve performance goals and objectives (individual or departmental) as established by the manager
Manage resources to meet department goals
Communicate effectively with all levels of staff
Other tasks as needed.
Qualifications
Knowledge of Medicare, Medicaid, private insurance, HMO's and hospice billing
Analyzed accounts receivable for accuracy and filed reconsideration on denied claims.
Submit, adjust, and void Medicare and Medicaid claims efficiently.
Experience working with insurance portals
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Working knowledge of medical terminology/ICD-10 codes, preferred
Knowledge of medical terminology
Ability to work independently and with a group
Education and Experience Requirements
High School Diploma or equivalent
Other Requirements
Must have access to high-speed internet-at least 20mbps download, and must be hardwired
In person and hybrid in the Oklahoma City area
Physical Requirements
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception,and the ability to adjust focus.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
Must be able to talk, listen and speak clearly on telephone.
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.
Travel Time Negligible
NOTE The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.
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