Billing Specialist
On-siteFargo, North Dakota, United States
Job Summary
Support the billing system in the review and generation of billing for reimbursement and payment of services provided through various Anne Carlsen Center programs. Manage electronic medical claim submissions, including the conversion of paper billing processes to electronic formats, development of industry reports, and electronic remittance notification. Utilize knowledge of ICD-10, HCPCS, and CPT coding to handle patient statements, denials, and prior authorizations while researching issues independently. Work Monday through Friday from 8am to 4:30pm, up to 40 weekly hours, as a full-time hourly employee.
Required Qualifications
- One year's experience in the submission of electronic medical claims
- Experience with the conversion of paper billing processes to electronic
- Development of various industry reports
- Other electronic processes such as electronic remittance notification and claim clearing houses
- Familiarity with patient statements
- Familiarity with medical claims
- Familiarity with billing practices focused on medical billing
- High School Diploma
Desired Qualifications
- Three or more years of experience in billing processes and procedures
- Experience with denials
- Experience with prior authorizations
- Knowledge of medical terminology
- Knowledge of referral process
- Knowledge of learning systems
- Knowledge of ICD-10 coding requirements
- Knowledge of HCPCS coding requirements
- Knowledge of CPT coding requirements
- Skill in proactive approach with researching issues and finding solutions, both independently and by working with others
- Skill in utilizing and learning various electronic platforms and systems for claim submittal
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