Medical Billing Specialist As Needed Must have Hospital Billing Experience- Parallon

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Medical Billing Specialist (As Needed) –Must have Hospital Billing Experience- Parallon','08591-130063','United States-Georgia-Norcross-Shared Services - Atlanta','PRN/Per Diem','Admitting Registration Clerical & Scheduling','!*! 
 
 
This positions is PRN which means it is as needed. Hours will vary.
 
 
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
·    Works all identified insurance requirement edits through the electronic billing system.
·    Communicates issues with patient access and facility departments.
·    Researches required information and maintains pending follow up on a daily/weekly basis.
      This applies to all untransmitted pending claims.
·    Communicates daily information needed for billing to the Medicare Service Center via action notes
      and e-mail.
·    Daily transmits all electronic claims to the billing vendor to be sent directly to the insurance carriers.
·    Daily works electronic insurance rejects in order to retransmit with corrected insurance information.
·    Daily works rebills submitted to the billing department through the electronic billing system.
·    Daily/weekly verifies that all electronic acknowledgements were received by the insurance carriers.
·    Daily submits required paper billing to insurance carriers. 
·    Attach I-bills, ER records, implant invoices to paper billing when required.
·    Maintain daily follow up with the facility late charge reports.
·    Late charges to be reviewed based on specific insurance payor requirements.
·    Submit adjustment requests to Medicaid through online automated system.
·    Work the unbilled alert and comp census reports daily.
·    Work the Medicare 72 hour and Medicaid 24 hour reports to identify Compliance overlapping accounts.
      Transfer charges when appropriate.
·    Work all related Medicare APC edits that appear on the bill alert reports and communicate with facility
      departments in order to resolve.
·    Work the lab compliance related edits and communicates issues with facility lab directors.
·    Enter notes in the collection system of action taken.
·    Record daily productivity on excel spreadsheet.
·    Practice and adhere to the Code of Conduct philosophy.
·    Attend all required billing education classes.
·    Other duties as assigned.','!*!EDUCATION:
·    High school diploma or GED required.
 
EXPERIENCE:
·    At least one year billing experience required.
·    Must be familiar with coordination of benefits (COB) rules and guidelines for billing secondary and tertiary payers.
·      Must have hospital billing experience and be familiar with UB04 form locators.
·      Ability to read and understand revenue cycle documentation required.
·      Must be able to multitask and possess a basic understanding of government and commercial policies pertaining to COB and crossover transactions.
 
 ','Medical Billing Specialist (As Needed) –Must have Hospital Billing Experience- Parallon

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