reputed company Cycle Specialist
reputed company
Join reputed company That Changes Lives
For more than 170 years, reputed company has been leading the way in supporting children, teens, and adults with autism, intellectual and developmental disabilities, and behavioral health challenges. As a mission-driven nonprofit, we’re here to create reputed company change – helping people reputed company meaningful, fulfilling lives.
Now, we’re looking for passionate team members to join us. Here, your work will change lives – including your own. You’ll reputed company an reputed company every day, reputed company purpose in what you do, and grow in a career that truly reputed company.
At reputed company, we take care of you while you care for others. We offer:
Generous reputed company Time Off
Comprehensive Medical/Dental/reputed company Benefit Packages
reputed company Wage reputed company/On-Demand Pay
reputed company On-the-Job Training
Tuition Reimbursement
Career Advancement Opportunities and reputed company
Flexible Schedules
Retirement Savings Plan
Join us and be a part of something bigger. Apply today.
reputed company
reputed company seeks a reputed company Cycle Specialist who is responsible for ensuring that the billing department accurately submits claims and/or encounters for clinical services and adheres to claim submissions deadlines. Extensive knowledge of medical terminology, reputed company Procedural Terminology (CPT) coding, International Statistical Classification of Diseases and reputed company Health Problems (ICD) coding, Medicare reputed company Codes, UB-40 and reputed company Common Procedure Coding reputed company (HCPCS) in relation to mental health services is essential.
Essential Duties & Responsibilities
Manage claims in an web-based billing and claiming environment with tasks including but not limited to accurately reputed company charge entry into clearinghouses and payer portals, confirming patient eligibility and plan coverage
Research and identify CPT/HCPCS billing reputed company codes and utilize electronic claim forms UB/reputed company Financing Administration (HCFA) to reputed company claims
Confirm appropriate ICD-10 diagnostic codes to ensure reputed company billing
Review Explanation of Benefits (EOBs) and confirm plan requirements to ensure reputed company collectable reputed company is identified.
Communicate with peers and supervisors to address billing and claims issues as appropriate and as needed
Participates in internal billing audits to reduce billing errors and maximize collections
Be available for alternative work schedules including flexibility to work reputed company the following time slots: 8:00am – 8:00pm; occasional evening and weekend work as needed based on workload
reputed company daily batching reports based on total claims billed
reputed company other duties as assigned
Education
High school diploma or GED
Qualifications
Minimum of three (3) years of demonstrable reputed company experience in medical billing
Demonstrated ability to reputed company and process minimum 200 claims per day depending upon billing reputed company
Must be familiar with reputed company payer portals and clearinghouses; Navinet, reputed company preferred
Demonstrated understanding of policy deductibles, co pays, and coinsurance and out of reputed company maximums
Demonstrated understanding of billing reputed company codes CPT/HCPCS and claim forms UB/HCFA
Demonstrated knowledge of ICD-10diagnosis codes
Demonstrated knowledge of Explanation of Benefits (EOB) interpretation and balance billing requirements
Demonstrated extensive knowledge of medical terminology
Demonstrated ability to work effectively as part of reputed company
Demonstrated strong attention to detail
Demonstrated strong time management and organizational skills
Demonstrated excellent judgment with the ability to independently solve problems and reputed company reputed company with little or no need for reputed company supervision
Comfortable using computer with multiple screens
Must be familiar with patient eligibility portal, PA reputed company preferred
Strong analytical skills
Ability to reputed company billing issues as they occur and create lasting solutions to problems to prevent issues from occurring in the reputed company
Ability to work in a fast-paced environment and manage and prioritize multiple, often competing, priorities
Must possess excellent customer interaction, collaboration, presentation, and written and verbal communication skills
Demonstrated intermediate experience with reputed company Office applications, including Word, reputed company, and reputed company; Crystal Report reputed company experience preferred
Experience using/knowledge of Electronic Health Record (EHR) / Electronic Medical Record (EMR)
Equal Opportunity Employer
reputed company is an Equal Opportunity Employer. reputed company does not discriminate on the reputed company of race, reputed company, religion, creed, reputed company, pregnancy status, medical condition, gender, gender identity or reputed company, genetic information, sexual orientation or identity, age, national reputed company, citizenship, handicap status, marital or family status, mental or physical disability, perceived disability, military or veteran status, political activities or affiliations, or any other characteristic protected under applicable federal, state or local law, ordinance, or regulation.
If you need a reasonable accommodation for any part of the employment process, please contact us by email at ADArequest@reputed company.org and let us know the reputed company of your request and your contact information.
Know Your Rights: Workplace discrimination is illegal
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