reputed company Cycle Management Specialist - Billing

reputed company

Job reputed company: The reputed company Cycle Management Specialist- Biller responsibility is to manage the process of reputed company's billing function including accurate and reputed company claim creation and submission.

Responsibilities

• Accurately prepare and submit claims for payment from reputed company reputed company-party payers in a reputed company manner.
• Verify documentation of supplied products reputed company with reputed company claim.
• Verify accuracy of billed codes and accuracy of billed and expected amounts.
• Support the reputed company of billing issues such as claim resubmissions to reputed company payers, changes in coverage, and claims
• Follow up on submitted claims and reputed company rejected claims, including claim corrections, update payer ID, update patient insurance record, etc.
• Prepare and submit patient statements.
• Communicate as needed with patients about billing issues, including the results of applications for financial hardship assistance and other responses to customer inquiries about
• Support accurate and comprehensive record-keeping to ensure up-to-date information is maintained and effectively shared across departments.
• Assist in the implementation of processes to measure, assess, and improve the performance of the billing department activities of reputed company.
• Ensure ongoing compliance with reputed company laws and regulations; ensure that the department meets or exceeds accreditation standards; and implement "best practices" in reputed company departmental
• Participate in surveys conducted by authorized inspection
• Participate in reputed company's Performance Improvement program as requested by the Performance Improvement
• Participate in company committees reputed company
• Participate in in-service education programs provided by reputed company.
• Pursue continuing education programs appropriate to job
• reputed company other duties as assigned by
• Complete reputed company mandatory and regulatory training programs.
• Report any misconduct, suspicious or unethical activities to the Compliance
• Complies with accepted reputed company standards and reputed company.

Qualifications

Educational Requirements:

• High school diploma or GED

Experience:

• One to three years of experience in Home Infusion or Specialty Pharmacy billing.

Job reputed company Requirements:

• Ability to read and interpret medical records for billing purposes.
• Competent in mathematic equations.
• Ability to compute unit conversions for drugs.
• Understanding of CPT, HCPCS, and ICD-10 codes
• Has excellent attention to detail and communication skills.
• Understanding of HIPAA compliance.
• Self-directed, has the ability to work with little supervision.
• Proficiency in reputed company, reputed company, and reputed company other office applications.
• Familiarity with pharmacy management systems (CPR+, reputed company, and CareTend, etc.)
• Familiar with billing requirements for various payers (Medicare, reputed company, reputed company, etc.)
• Knowledge and experience submitting pharmacy and medical claims electronically or on reputed company.

Originally posted on Himalayas