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Title

Billing Specialist - $1,000 Sign-On Bonus 

Category Billing  
Description

Our comprehensive cardiology group is expanding and looking to add to our team.

Cardiac Solutions utilizes a personalized, team-oriented approach to patient care promoting wellness through education, innovation, and technology. We offer intensive educational opportunities for patients through our disease management clinics and employ a multidisciplinary approach which includes physicians, physician assistants, nurse practitioners, nurses, pharmacy support, medical assistants, and additional clinical and non-clinical support teams. Our focus helps to prevent the progression of heart disease and minimize patient hospital admissions.

POSITION SUMMARY:

The Office Billing Specialist position is responsible for handling all office visit billing and collection related functions for patient accounts. These functions include but are not limited to posting charges, confirming correct CPT and diagnoses codes, assuring claims are paid in a timely manner and collecting on any owed accounts. Additionally, this position maybe required to travel to all office locations to meet business needs, as requested.

 

ESSENTIAL JOB DUTIES:

  • Responsible for retrieving billing charges for all locations.
  • Responsible for posting copays and deductible for all offices.
  • Confirms charges are entered into EMR system with correct CPT and diagnoses codes before approving.
  • Communicate with doctors and back-office staff for billing questions.
  • Runs deposit slips and balances office deposits.
  • Batch and submit daily claims.
  • Reviews status daily in EMR to assure claims are being followed up on for payment.
  • Calls insurance companies regarding any discrepancy on unpaid/denied/rejected claims.
  • Responsible for collecting on accounts per department protocols
  • Identifies and communicates any trends and carrier issues relating to billing and reimbursements.
  • Processes claim appeals per departmental protocols.
  • Prepares paper claims (CMS-1500) and electronic claim submissions for secondary filing.
  • Processes inbound/outbound calls from insurance and patients with billing questions.
  • Research and communicate any billing changes to achieve optimum performance.
  • Complete assigned batch with daily charges per department guidelines
  • Answers overhead pages for billing department.
  • Respond to billing email and flag questions.
  • Maintains patient confidentiality by following HIPAA policies and procedures
  • Other duties as assigned and requested
 
Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of Microsoft Office products.
  • Knowledge of Medical Billing, CPT and ICD-9/ICD-10, and HCPCS codes.
  • Knowledge insurance carrier contracts.
  • Knowledge of HIPAA regulations.
  • Knowledge of medical terminology.
  • Ability to work in a fast-paced environment and work well under pressure.
  • Ability to work with currency and make change.
  • Skill in working with an EMR system.
  • Skill in communicating with insurance carriers as well as patients to get claims paid and collect any account balances.
  • Ability to maintain confidentiality and maintain professionalism at all times.

 

EDUCATION AND/OR EXPERIENCE:

  • Two - three years of medical insurance billing and collections experience.
  • Proficiency in researching data for analysis and closure in the account receivable arena.
  • Excellent customer service skills.
  • Excellent verbal and written communication skills.
  • Excellent analytical and problem-solving skills.
  • Must possesses a strong attention to detail.

 

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical/work environment functions apply:

  • Sit for extend periods of time, stand, talk, bend or hear
  • Type, utilizing a computer keyboard and mouse.
  • May lift up to 25 lbs.
  • Utilize a multi-line telephone system
 
Full-Time/Part-Time Full-Time  
Shift Days  
Minimum Education  
Travel Requirements  
Exempt/Non-Exempt Non-Exempt  
Location All Offices  
About the Organization Cardiac Solutions is a medical, physician-owned business that provides a comprehensive range of cardiac health services to the general public and referred patients. Founded in 1984 by Dr. Joseph Caplan, our clinics have established a solid reputation for innovative cardiology treatments and personalized cardiovascular care. We are proud of our status as the West Valley's leading cardiology team, specializing in YOUR total heart care. Our board-certified cardiologists always put your treatment and care first, allowing you to have the peace of mind knowing that your heart is in good hands.

With our intensive educational opportunities through nurse-directed clinics, we help prevent the progression of heart disease by offering extensive cardiology testing. Our main goal is to avoid hospital admissions by accurately diagnosing and treating cardiac problems at the earliest possible stage. During this process, you not only build a relationship with your physician, but with the many members of our TEAM, all of whom are focused on YOUR heart health.  
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  

This position is currently not accepting applications.

To search for an open position, please go to http://JOSEPHACAPLANMDPCdbaCardiacSolutions.appone.com



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