What are the responsibilities and job description for the Cost Estimate Specialist position at Graebel Companies?
Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.
Required Skills
Customer Services :
- Answering and referring inquiries within scope of business services.
- Telephone : Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.
- Maintains communication between medical providers, administrative staff, and / or patient / families.
Business Services :
Performs account audits of patient billing and medical records of providers
Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.
Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.
Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.
Scans and uploads patient clinical documents into medical chart.
Ensures all provider services are accounted for and billed.
Environmental Services :
Contributes to the overall cleanliness and appearance of personal work space and department.
Monitors supply levels and requests when needed.
Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.
Required Experience
Minimum Education : Graduate of a certified coding program
Work Experience : One year or more experience in multispecialty coding position.
Required License / Certification / Registration : Certified Professional Coder or comparable designation
Skills :
Qualifications : Customer Services :
Business Services :
Performs account audits of patient billing and medical records of providers
Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.
Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.
Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.
Scans and uploads patient clinical documents into medical chart.
Ensures all provider services are accounted for and billed.
Environmental Services :
Contributes to the overall cleanliness and appearance of personal work space and department.
Monitors supply levels and requests when needed.
Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.
