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Biller/Coder in Weslaco, TX at KNAPP MEDICAL CENTER

Date Posted: 12/27/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Weslaco, TX
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    12/27/2018

Job Description

JOB SUMMARY: The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medicaid/or Medicare regulations. The Biller is responsible for submitting claims to the appropriate intermediaries and insurance carriers, workers compensation, carriers, as well as HMO/PPO carriers. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Audits patient accounts to ensure procedure and charges are coded accurate and correct billing errors. Able t identify stop loss claims, implants and missing codes. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD-10, CPT, HCPCS,) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology. The Biller is required to follow policy and procedure necessary to ensure the proper course of end of month reporting.