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Title

Hospital Billing Specialist  

Category Billing  
Description

POSITION SUMMARY:

This position is responsible for posting physician charges preformed in a hospital facility and confirming and verifying that the charges are entered into the system with the correct CPT and diagnoses codes.

ESSENTIAL JOB DUTIES:

  • Integrates charges into our system.
  • Registers patients in EMR system.
  • Verifies all insurances; primary and secondary.
  • Confirms charges are entered into the system with correct CPT and diagnoses codes before approving.
  • Reads and understands all procedure notes before approving charges to assure they are billed correctly.
  • Calls insurance companies to obtain necessary information if it cannot be gathered from the web site.
  • Work VA claims, print HCFA, pull report, Scan, and mail out claim.
  • Re-verify Self-pay patients weekly.
  • Contacts patients to update insurance as needed.
  • Obtaining authorization for certain procedure codes when applicable.
  • Complete a batch within the 3-day protocol required.
  • Work with other inner office departments as needed.
  • Other duties and tasks as assigned.
 
Position Requirements

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge of CPT and ICD-10 codes.
  • Knowledge insurance contracts.
  • Knowledge of Cardiology procedures a plus.
  • Knowledge of HIPAA regulations.
  • Knowledge of medical terminology.
  • Skill with working with multi-line telephone system.
  • Skill in working with outside facilities.
  • Ability to maintain confidentiality.
  • Ability to work well under pressure.
  • Ability to maintain professionalism at all times.

EDUCATION AND/OR EXPERIENCE:

  • Two years’ medical billing experience.
  • Detail oriented.
  • Excellent verbal and written communication skills.
  • Excellent analytical and problem-solving skills.

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.
  • 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 Peoria Office  
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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