What are the responsibilities and job description for the Patient Account Representative II position at Northwest Medical Specialties, PLLC?
About us
Northwest Medical Specialties, PLLC is a medium business in HEALTH_CARE_MEDICAL. We are professional and supportive.
Our work environment includes
- Work-from-home days
*
JOB OVERVIEW: Ensure successful entry of all medical visits into the medical practice management billing system in a compliant and timely manner. Familiar with CPT, HCPCS and ICD-10 coding, medical terminology, anatomy, and physiology as it relates to the medical field. Appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission.
Essential Responsibilities
Reviews charge entry and makes appropriate coding changes as necessary per AMA and payer policies.
Ensures treatment & dispensing documentation is complete and accurate prior to submitting claims.
Aware of State, Federal & Commercial carrier guidelines to ensure compliance.
Resolve billing related questions ensuring proper billing guidelines are met. Including researching, resolving and resubmitting unpaid claims
Reviews and resolves claim denials.
Retrieves daily electronic remittance files from the clearinghouse or carrier as appropriate.
EDUCATION ANDEXPERIENCE
High School graduate or equivalent (G.E.D.)
Billing Specialist, CPC or Oncology certification a plus.
Minimum of 3 years’ experience working in the Medical Billing field.
Must have experience with Medical insurance claim follow up.
SKILLS
Understanding of clinic operations related to patient registration, referrals, & cash collections.
Intermediate to expert computer skills including Windows programs and database program applications preferred.
Good keyboard skills with high accuracy rate.
QUALIFICATIONS:
Demonstrates the ability to make decisions, assess, and resolve problems effectively.
Demonstrates good organizational skills with the ability to prioritize for maximum efficiency, as well as the ability to multi-task.
Strong grasp of ICD-10, CPT and HCPCS coding
Knowledgeable in reading and interpreting primary insurance remits for the purpose of performing claims billing of secondary insurance and working denials.
Demonstrates the ability to carry out assignments independently, work from procedures, and exercise good judgment.
Knowledge of HIPAA privacy rules, False Claims Act, Anti-Kickback Statute, and Stark Law.
Self-motivated and independently productive.
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- Medical billing: 2 years (Required)
Ability to Commute:
- Puyallup, WA 98373 (Required)
Work Location: Hybrid remote in Puyallup, WA 98373
Salary : $23 - $26