AMBULANCE BILLING SPEC I Full-Time PAC
Location: Albuquerque, New Mexico
Description: Presbyterian Healthcare Services is currently interviewing AMBULANCE BILLING SPEC I Full-Time PAC right now, this occupation will be settled in New Mexico. More details about this occupation opportunity kindly read the description below. Minimum Skills/Requirements
High School education (G.E.D.) with a minimum of two (2) years' experience in admissions, medical cla! ims processing, insurance billing, claims follow-up, or collections preferred.
Excellent organizational, problem solving, verbal, written communication and ability to interact with other functional areas required. PC experience with Microsoft Office Word and
Excel. Demonstrated ability to work effectively in a team environment. Knowledge of ICD9/ICD10 and HCPCS.
Primary Job Functions
- Performs an evaluation of patient accounts for accuracy of information which includes, patient demographics, complete and accurate insurance information, appropriate
- Assigns correct levels of service and coding of claims according to all pertinent regulatory authorities.
- Identifies billing and collection practices that are inconsistent with contractual agreements and Government regulations. Summarizes findings with recommendations to Management.
- Identifies ! training needs regarding existing and new PHS guidelines. Work! s with Department Manager to ensure that new policies are incorporated.
- Provides written information to Management of discrepancies found.
- Maintain clear communication within the department.
- Responsible for identifying and documenting insurance payor issues as they arise. Must communicate all issues to teammates and Supervisor. Responsible for maintaining a file
- Must be an effective team member with good communication skills. Must participate in team meetings, communicate work related ideas and concerns proactively, and assist in finding
- Responsible for contacting insurance companies regarding outstanding claims.
- Responsible for providing any information (medical records, itemized statements, etc.) requested by insurance companies to process claims. Must maintain a syste! m to ensure timely
- Refer accounts, in accordance with PHS guidelines, for write-off, agency, or attorney referral. Refer difficult claims to Supervisor or Manager for advice and/or assistance.
- Must work closely with all outside agencies contracted with the Patient Accounting Department and assist them with account resolution for any accounts assigned to them
- Performs accounts receivable reimbursement analysis and denial management activities for their assigned payers/accounts using monthly aged account work queues and/or A/R reports.
- Maintain status reports consisting of outstanding accounts assigned. Must work and document the report according to Patient Accounting Department policies and procedures.
- Ensures that all job functions are performed within the established q! uality and quantity standards. Adheres to all PHS and Patient Accountin! g Department policies and procedures to
- Responsible for contacting insurance companies, patients, employers, etc to resolve payment issues that require their assistance.
- Documents accounts in accordance with established Patient Accounting Department guidelines.
- Follows established billing/coding guidelines to flag accounts for follow-up as needed.
- Compiles and validates all payment receipts. Assure the accuracy of daily deposit by validating that the dollar amount on the receipt.
- Performs any other duties assigned.
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If you were eligible to this occupation, please deliver us your resume, with salary requirements and a resume to Presbyterian Healthcare Services.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation will be started on: Fri, 08 Nov 2013 21:58:44 GMT
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