What are the responsibilities and job description for the Medical Billing - Coding and Processing position at WLRC Inc?
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. The MBS-II would be
eligible for a hybrid remote work schedule at the completion of six months of successful employment.
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!
