44 Clinical Billing Specialist Jobs in Baltimore, MD
SORT BY
H
A
H
B
T
T
W
M
m
C
M
T
T
A
J
J
M
m
J
C
J
J
Johns Hopkins Medical Management Corporation
Baltimore, MD | Full Time
$67k-81k (estimate)
1 Month Ago
V
A
U
J
Clinical Billing Specialist
$54k-73k (estimate)
Full Time
6 Days Ago
Health Care for the Homeless is Hiring a Clinical Billing Specialist Near Baltimore, MD
OverviewThe Clinical Billing Specialist is an experienced clinical Medicaid/MCO billing professional that supports the agency’s financial health and overall mission. As part of the Finance department, this role will provide critical review and auditing functions to our billing processes, helping to ensure an effective and efficient method of reimbursement.
Key Role Responsibilities
In addition to role responsibilities, every staff member has the following responsibilities as a part of their employment:
Key Role Responsibilities
- Perform a variety of billing functions, including charge and payment posting, processing of electronic EDI claims and electronic Explanation of Benefits (EOBs), tracking and follow-up on outstanding or denied claims, and receivable management tracking and reporting
- Review and audit critical billing and clinical information, such as EHR charts from multiple departments/specialties, E&M code levels and EHR documentation, diagnoses (represented by the ICD-9-CM coding, ICD-10-CM supporting the services provided, code levels supporting the complexity of the visit, and properly documented and coded CPT procedures
- Identify inaccurate coding services and subsequently prepares reports of findings to act as a catalyst for staff education and training on accurate coding practices and compliance issues
In addition to role responsibilities, every staff member has the following responsibilities as a part of their employment:
- Models and reinforces the core values of dignity, authenticity, hope, justice, passion and balance
- Actively participates in performance improvement and advocacy activities that support the mission
- Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant health care-related IT security regulations
- Performs other duties on an as-needed basis
- Bachelor’s degree or equivalent experience
- Certified Professional Coder (CPC) certification preferred
- Two (2) years or more billing experience in a health care setting
- Experience in and knowledge of Medicare/Medicaid payer guidelines
- Experience with GE Centricity Billing System and working with EMR a plus
- Familiarity with insurance verifications and prior authorizations is required
- Experience working in a federally qualified health clinic (FQHC) is highly desirable
- Comfortable working with homeless and/or low-income individuals and families
- Excellent interpersonal and customer service skills to interact and maintain relationships with a wide range of personalities
- Strong organizational skills necessary with strong accountability and drive
- Demonstrated proficiency with databases and spreadsheets
- Strong communication skills, both written and verbal
- Able to cope with interruptions, be flexible, and be a team player
Job Summary
JOB TYPE
Full Time
SALARY
$54k-73k (estimate)
POST DATE
06/15/2024
EXPIRATION DATE
07/02/2024
WEBSITE
hchmd.org
HEADQUARTERS
Baltimore, MD
SIZE
200 - 500
Related Companies
Show more
Similar Jobs
Popular Articles
Top 10 Things to Avoid Putting on a Job Application
Read Article
How to Describe Your Education in a Resume
Read Article
How to Write a Memorable Cover Letter in 5 Ways
Read Article
4 Personal Finance Tips to Make During Job Transition
Read Article
4 Best Camera Setups for Interview
Read Article
Keeping a Job Search Journal: 9 Types of Journaling You Can Do
Read Article
