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Full Cycle Medical Billing
Full Cycle Medical BillingGI Alliance • Glendale, Arizona, United States, 85301
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Full Cycle Medical Billing

Full Cycle Medical Billing

GI Alliance • Glendale, Arizona, United States, 85301
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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 procedures
  • Review chart documentations to ensure patient meets medical policy guidelines
  • Prioritize authorization request according to urgency
  • Obtain authorization via payer website or by phone and follow up regularly on pending cases
  • Verify coverage and benefits and calculated any out-of-pocket portions due
  • Contact patients to review any out-of-pocket portions due prior to surgery

    • AR Follow Up Portion :

  • Resolve errors and make claim edits assigned in work buckets
  • Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and / or submitting claims
  • Contact payers and patients when necessary
  • Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS Processes
  • Make necessary adjustments to patient demographic, insurance, and account balance information
  • Complete A / R adjustments where permitted and appropriate : request other adjustments were permitted and appropriate
  • Comply with and adhere to all regulatory compliance areas, policies and procedures (including HIPAA and PCI compliance requirements) , and “leading practices

    • Qualifications

    Requirements

  • Minimum 1 year charge posting, prior authorization and AR follow up experience
  • Understanding of payer medical policy guidelines to manage authorizations effectively
  • Proficient use of CPT and ICD10 codes
  • Detail oriented and above average organizational skills
  • Plans and prioritizes to meet deadlines
  • Ability to multitask and remain focused while managing a high volume, time sensitive workload
  • Interventional Radiology (IR) experience helpful

    • PI4c46b9ad2f4e-30511-38546339

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    Medical Billing • Glendale, Arizona, United States, 85301

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