MBMS - Medical Billing and Management Services
  • 01-Nov-2017 to 31-Dec-2017 (PST)
  • Somerset
  • Somerset, PA, USA
  • Full Time

Medical, Dental, Vision, STD, LTD, Life, 401(k) and Credit Union Affiliated


Rapidly growing Medical Billing and Management Company is currently seeking a Certified Billing Specialist in our Somerset office location.

Responsibilities and Duties include but are not limited to the following:

  • Make appropriate adjustments or corrections to patient accounts to update information (i.e. discharge date, modifiers and insurance information). 

  • Review patient medical reports and accurately assign and sequence ICD-10 codes, CPT codes and modifiers. 

  • Request redeterminations on denied claims according to payer's appeal procedure within established time limit to file an appeal from date of initial claim determination. 

  • Responsible for reviewing accounts rejected or denied for additional documentation and/or clarification. 

  • Assists billing staff with coding issues or questions. 

  • Identify line item denials for medical necessity, non-covered services, and prior authorization and reporting any trends to management to head off potential ongoing process errors in the billing. 

  • Answer phones and respond to inquiries or problems in a professional and courteous manner. 

  • Maintain current professional coding certification. 

Skills/Education/Experience required:

  • Experience in interventional radiology preferred. 
  • Must have a current CPC, CCS-P and/or RCC certification.
  • Must be proficient in excel. 
  • Excellent computer and data entry skills. 
  • Excellent communication skills. 
  • Multitasking skills. 
  • Must be able to work well with a team or independently. 
  • Great attention to detail. 
  • High School Diploma or equivalent. 
  • Associates Degree preferred.
MBMS - Medical Billing and Management Services
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