Billing Specialist - Digitech - Remote

Billing Specialist I

Responsibilities

• Utilize master billing guides and other process instructions to review PCR to ensure medical necessity, reasonableness, level of service, ICD10 coding and mileage is correct.
• Maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
• Meet or exceed defined productivity standards for the position.
• Maintain a strong working knowledge of billing rules and regulations for all payor types in the various regions for which they process claims.
• Properly notate accounts reviewed.
• Attach necessary documentation within the system or to paper 1500s.
• Obtain additional information from clients when needed, such as HIPAA forms, pre-authorizations from insurance companies, and physician medical necessity forms, in order to submit third-party claims.
• Review billing documents in the billing platform using dates provided on patient care reports, physician medical necessity forms, and hospital face sheets.
• Review and validate claims electronically or on paper.
• Monitor tags or workflows to ensure timely validation of claims.
• Process all insurance claim forms in accordance with federal and state laws as well as departmental procedures.
• Provide accurate billing in compliance with regulatory requirements and internal policies and procedures.
• Demonstrate biller competency by achieving and maintaining billing accuracy scores that meet or exceed expectations during quality assurance and audit activities.
• Adhere to all Digitech HIPAA privacy policies and procedures. This includes always maintaining the confidentiality and security of sensitive patient information.

Qualifications

• Education: High School Diploma or equivalent
• Experience: 1 – 2 years of Medical billing preferred
• Certification: Certified Ambulance Coder (CAC) preferred

Skills

• Education: High School Diploma or equivalent
• Experience: 1 – 2 years of Medical billing preferred
• Certification: Certified Ambulance Coder (CAC) preferred
• Skills: Demonstrated ability or willingness to attain QMC Biller Certification upon employment
• Computer Skills: Basic computer skills including ability to utilize multiple windows and programs simultaneously
• Customer Service: Customer service oriented
• Attention to Detail: Attention to detail and focus on quality
• Organizational Skills: Organizational skills
• Communication: Demonstrated ability or willingness to attain QMC Biller Certification upon employment
• Work Environment: Must have the ability to work in a fast-paced environment
• Remote Work: Must have the ability to work with minimal supervision
• Teamwork: Must display sufficient written and oral communication skills
• Independence: Must have the ability to independently manage all aspects of the job role including required goals and business practices in a remote environment

Benefits

• Comprehensive benefits package, including 401(k) Plan
• EEO/M/F/Veterans/Disabled

Pay

Competitive salary, commensurate with experience

Schedule

Not specified