Our client is committed to helping others live their best possible life through the power of health. They have brought new products and technologies to under-served communities through medical devices and healthcare services - that creates more possibilities for people at all stages of life. Today, they're working to help people live not just longer, but better, in the communities they serve.

The Medical Billing Specialist is responsible for gathering data, proper coding and entry of all hospital or office based on review of documentation. They will manually enter patient charges in accordance with proper procedures including ordering of dx codes, correct coding imitative, modifiers, quality codes and other carrier requirements.

Must have experience with aged accounts.

Duration: Long Term Temp Assignment

Work Hours: M-F (8am-4pm or 9am-5pm)

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Systematically review the claim report for compliance the correct coding initiatives, carrier policies, necessary modifiers, PQRI compliance and other necessary data edits.
• Follow-up with the appropriate work cell, technician or provider for resolution of conflicting or missing data.
• Review claim data for necessary and accurate demographics information.
• Follow-up, obtain and enter missing data.
• Assist other department staff as needed in handling telephone calls and written requests from patients, families, payers, hospitals and other departments concerning outstanding balances.
• Electronically document all follow-up and patient communications with sufficient information to inform the next reviewer of the account.
• Advise manager of documentation or billing trends causing account collection problems.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

• Medical terminology knowledge
• Experience with aged accounts and submitting claims to clearinghouse
• Experience with health insurance products and process required
• Problem solving skills
• Ability to work without direct supervision and willingness to take direction
• Excellent written and verbal communication skills
• Tenacity with a tremendous attention to detail
• Strong computer and mathematic skills
• Good organizational and time management skills
• Strong communication skills

REQUIRED AND PREFERRED EDUCATION, EXPERIENCE, AND CREDENTIALS:

• High School diploma or GED required
• Preferred Certificate in Coding and Collections experience
• Required 2 years of experience in Coding

We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged.

Note: This job description should not be construed to imply that these requirements are the exclusive standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as may be required. The employer has the right to revise this job description at any time. This job description is not to be construed as a contract for employment.