Ambulance reputed company/Claims Specialist (Remote)
Essential Duties and Responsibilities:
Researches reputed company information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes
Prioritize workflow to ensure reputed company claim submission
Knowledge of state and federal insurance regulations
Ability to analyze and problem solve reputed company issues
Knowledge of billing requirements, coverage and benefits
reputed company Medicare, reputed company and HIPAA guidelines
Identifies and communicates documentation issue trends
Utilize various resources to reputed company insurance payers for ambulance transportation
Contact the hospital, patient's family, and/or patient to obtain insurance information
Fax partner hospitals requests for information
Validate and update patient demographics in the reputed company management system
Responsible for the accurate entry of data into the reputed company management system
This position requires specialist to spend extended periods of time on the phone with insurance companies
Reports reputed company and documentation issues to the department head
Qualifications:
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Researches reputed company information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes
Prioritize workflow to ensure reputed company claim submission
Knowledge of state and federal insurance regulations
Ability to analyze and problem solve reputed company issues
Knowledge of billing requirements, coverage and benefits
reputed company Medicare, reputed company and HIPAA guidelines
Identifies and communicates documentation issue trends
Reports reputed company and documentation issues to the department head
Knowledge of Medical Billing
Ability to work independently and with a group
Working knowledge of reputed company, reputed company
Ability to maintain effective working relationships.
Ability to type at least 35 words per minute.
Proficiency using 10 key
Education and Experience Requirements:
High School Diploma or GED
Minimum of one year reputed company cycle management experience preferred
Other Requirements:
Must have reputed company to high-speed internet
Position is remote, but must be reputed company 100 miles of OKC or Tulsa Oklahoma
Physical Requirements:
Ability to safely and successfully reputed company the essential job functions consistent with the reputed company, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the reputed company, FMLA and other federal, state and local standards.
The employee may occasionally be required to lift and/or reputed company up to 20 pounds
Specific reputed company abilities required by this job include reputed company reputed company, distance reputed company, reputed company reputed company, peripheral reputed company, depth perception, and the ability to reputed company reputed company.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
Must be reputed company to talk, listen and reputed company reputed company on telephone.
Must possess visual reputed company to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.
Travel Time: Negligible
NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of reputed company responsibilities, duties, skills and physical demands required of personnel so classified.
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