Full Cycle Medical Billing
Job Details
Job Location : AUUA Glendale - Glendale, AZ
Position Type : Full Time
Job Shift : Day
Description
Charge Entry Portion :
- Post charges daily
- Reviews charges for correct coding
- Audit codes for potential missed charges
- Preparing, reviewing, and transmitting claims using billing EMR
- Reconcile missing encounters
Prior Auth Portion :
Review EMR chart messaging and review schedules daily for upcoming surgical & in office proceduresReview chart documentations to ensure patient meets medical policy guidelinesPrioritize authorization request according to urgencyObtain authorization via payer website or by phone and follow up regularly on pending casesVerify coverage and benefits and calculated any out-of-pocket portions dueContact patients to review any out-of-pocket portions due prior to surgeryAR Follow Up Portion :
Resolve errors and make claim edits assigned in work bucketsFollow work list prioritization of accounts as established by department policies and procedures for resolving accounts and / or submitting claimsContact payers and patients when necessaryRequest relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS ProcessesMake necessary adjustments to patient demographic, insurance, and account balance informationComplete A / R adjustments where permitted and appropriate : request other adjustments were permitted and appropriateComply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practicesQualifications
Requirements
Minimum 1 year charge posting, prior authorization and AR follow up experienceUnderstanding of payer medical policy guidelines to manage authorizations effectivelyProficient use of CPT and ICD10 codesDetail oriented and above average organizational skillsPlans and prioritizes to meet deadlinesAbility to multitask and remain focused while managing a high volume, time sensitive workloadInterventional Radiology (IR) experience helpfulPIcab1680e33d0-30511-38546339