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Indian Trail, NC, United States
Job ID: 27884
Job Family: Clerical Support
Status: Full Time
Job Type: Regular
Department Name: 16041050936002-Ambulatory Services
Job SummaryUtilizes management reports, work queues, spreadsheets, payer remits, denials information to improve the claims submittal processes within the Surgery Center and reduce financial losses to the organization. Determine best case claim outcomes and can transmit issues upstream to Administration as needed to prevent recurrence of problems throughout the Surgery Center. Responsible for the daily billing, follow up and collection resolution of hospital and professional claims filed to various payors.
High school diploma required. An Associate degree, suitable Trade School or Coding Certification preferred. 2-5 years’ experience in a medical environment required, with strong medical terminology knowledge, preferably in the surgical realm. Thorough working knowledge of CPT and ICD-10 codes and can process outgoing claims, write billing edits, transmit transaction files and process payments. Strong typing skills, significant computer experience, email, copier and Microsoft office experience required. EMR experience required. EMR experience can be from a physician practice but should include both clerical and clinical functions. Knowledge of ASC billing preferred. Knowledge of billing rules and regulations through various governmental programs is required, as well as pertinent knowledge related to commercial claim submission and a firm grasp of all HIPAA guidelines.
Education, Experience and Certifications