Billing Specialist I

DESCRIPTION

WLRC Medical has an immediate opening for a full-time Medical Billing – Coding/Processing (MBS-II). Once

successfully trained MBS-II will be responsible for a variety of claims management functions including but not

limited to reading Patient Care Reports (PCR’s), and Certificate of Medical Necessities (CMN’s), to determine

appropriate ICD-10 codes to be assigned as well as HCPCS Codes and Modifiers on Ambulance Transport Claims,

to ensure clean submission and resolution of said claims. Additionally, MBS-II will be involved in researching, and

correcting claims that have been returned by Payor’s for Resubmission and or appeal.

Responsibility Overview:

ROLE AND RESPONSIBILITIES

• Claim status check and resolution, including initiating contact with appropriate third-party payor.
• Claim rejection/denial and resolution, including initiating contact with appropriate third-party payor.
• Coding of Ambulance Claims (ICD-10, HCPCS, & Modifiers).
• Return of Claims to Crews or Facilities for Corrections
• Manage inbound customer calls.
• Verification tasks specific to payor type.
• Researches all information to complete accurate billing processes including assignment of billing

charge codes and ICD-10 diagnosis codes.

• Accurately post payments received from insurance companies and patients to the appropriate

accounts.

• Review and reconcile payment discrepancies, ensuring that all transactions are correctly recorded.
• Other duties as assigned.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Graduation From High School or equivalent
• Customer service experience
• Ability to view computer monitor for extended periods (more than 8 hours)
• Ability to remain composed and multi-task in a busy, high-pressure environment.
• Ability to comprehend or learn department practices, rules, and regulations quickly.
• Ability to operate telephone and other specialized computer communication equipment.
• Ability to learn new software.
• Ability to speak clearly, concisely, and respectfully.
• Ability to communicate effectively with a diverse population, including medical professionals.

· Ability to think and react quickly and effectively in tense situations. · Ability to follow written and oral instructions. · Ability to recall details from numerous informational resources. · Ability to prioritize decisions based upon multiple criteria and identifiable standards of policies and procedures. · Maintain a reliable attendance record and be punctual daily. · Pass background investigation · Pass a pre-employment drug screen and all subsequent random or for cause drug screenings. PREFERRED SKILLS · ICD-10 Coding and billing. · Knowledge of payor types – Medicare, Medicaid, private insurance · Proficiency in Microsoft Office Suite.

We'd love to have you join the Butler Medical Transport team!