Job Description
MINIMUM QUALIFICATIONS Education -High school diploma/GED required. Associate's degree preferred. Experience - One year insurance billing/medical office experience preferred. Licenses & Certification - None Knowledge & Skills - Basic knowledge of hospital or clinic billing and follow up Knowledge of medical terminology Demonstrate basic knowledge of ICD-10-CM, CPT, HCPCS, and Revenue Codes Basic knowledge of major insurance companies billing policies to ensure compliance Basic knowledge of insurance claim forms General knowledge in specific specialties within the hospital or clinic billing area Ability to read, comprehend, and follow oral and written instructions Ability to establish and maintain effective working relationships with patients, co-workers and the general public. JOB SUMMARY The purpose of this position is to ensure that all billable services such as inpatient or outpatient medical or skilled facility, emergency room, home health, ambulance, laboratory, radiology, dental, optometry, behavioral health, diabetes, and pharmacy are billed to Medicare, Medicaid, and any commercial insurer in accordance with applicable government, state, local, and tribal laws. WORK ENVIRONMENT Work is performed in a business office environment. Occasional overtime and travel may be required. PHYSICAL DEMANDS Required sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve. ESSENTIAL FUNCTIONS Satisfactory job performance w