Description

A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist. The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials.

DUTIES

AND RESPONSIBILITIES

-Performs full cycle billing and collection functions for OHMG Surgical detail-oriented fees.

-Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission.

-Performs all data entry and charge posting functions for OHMG services as needed -Performs all third-party follow-up functions for all products and OHMG surgical procedures.

-Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments.

-Work on the Athena Work Dashboard / Claim list on a daily basis for all OIC services assigned.

-Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.

-Provides the correct ICD-10M code to identify the provider's narrative diagnosis -Provides the correct HCPCS code to identify medications and supplies.

-Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.

• Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons.

  Requirements Medical Billing, Medical Collections, Ambulatory Surgery, Ambulatory Surgery, Surgery, Medical Denials, Charge Entry, Medical Appeals

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