What are the responsibilities and job description for the Billing/Coding Specialist position at Garrett Regional Medical Center?
Specialty Physicians of Garrett County – Financial Services Department
The Billing/Coding Specialist must have a working knowledge of eClinical Works; Review provider’s notes for complete documentation and correct selection of ICD10 diagnoses codes and CPT procedure codes, and make sure all appropriate codes are entered in software to be billed. Communicate with providers for completeness and appropriateness; Stay up-to-date on industry standards and changes for billing purposes and educate providers; Create claims in practice management software; Submit paper and electronic claims to insurance companies; Check insurance eligibility as needed; Post payments in practice management software from all sources (credit cards, paper checks and explanation of benefits and electronic remittance advice); Follow upon denied and outstanding claims promptly; Notify participating insurance companies of overpayments as necessary; Send patient statements and work accounts receivable promptly; Assist in month-end balancing and lock/hard close; Assist with bank deposits and other administrative duties as needed. Have a working knowledge of the duties at the front desk including greeting and checking patients in and out, obtaining a copy of current insurance cards, collecting appropriate copays from patients, entering patient data in software, answering phones, scheduling appointments, reminding patients of appointments, communicate with insurance companies and physician offices for referrals and authorizations, attend fax machine &distribute appropriately, filing, transfer of patient records, requisition supplies, equipment, and services as directed. Be aware of and follow all GRMC Hospital policies, including knowing the location of office manuals, plans, incident report forms, and safety data sheets. Report to the Manager honestly and promptly any adverse happenings including but not limited to any errors you may have made, any expression
High school diploma or equivalent required. Certification in Coding preferred (CPC, CCA, or CCS). Medical terminology training preferred. Health insurance knowledge preferred. Excellent customer service skills, teamwork, professional demeanor, grammar and written skills required. Previous healthcare billing or collection experience preferred.
- Full-Time, 40 hours/week, dayshift
