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GERALD L IGNACE INDIAN HEALTH CTR Billing Specialist in MILWAUKEE, Wisconsin
JOB REQUIREMENTS: JOB SUMMARY: The overall responsibility is for a major contribution to the revenue cycle/accounts receivable operation and patient registration function(s) for the Gerald L. Ignace Indian Health Center, Inc. The responsibility includes the submission of properly executed claims on a timely basis to third party payers, guarantors, and other responsible parties. Re-billing, corrections and follow up of claims. Ensuring that correct and accurate patient information is correctly obtained and maintained in the patient registration system. ESSENTIAL DUTIES AND RESPONSIBILITIES: Responsible for the accurate and timely submission of claims to third party payers, intermediaries, and responsible parties. Responsible for the maintenance and control of unbilled claims Verifies that all billing control functions are completed daily Reviews that claims are generated daily and bills are approved and submitted each day Responsible for the error correction for all rejected/suspended claims previously to third party payers and intermediaries and patients. Provides supervisor with accurate accounting of all claims. Assists with Patient Registration data and ensures that all patient information is entered correctly on a daily basis. Uses coding conventions, techniques, coding rules and regulations. Keeps up to date on all coding trends and changes. Identifies inconsistencies among documentation and discusses with appropriate provider (e.g., legibility, diagnoses, procedures, medications). Assist with responsibilities and job duties of Accounts Receivable, including posting payments to outstanding claims. Assist with all responsibilities of the billing process. Assist and/or process third party insurance credentialing. Performs related duties as assigned by the Billing Office Manager. QUALIFICATIONS: Must have a working knowledge of the International Classification of Diseases (ICD-9-CM, ICD-10-CM), current Procedural Terminology (CPT-4) coding, and medical terminology. Must have a working knowledge of various federal, state, and local laws, policies, regulations, and precedents as they pertain to their-party reimbursement. Must have experience using basic office equipment including telephones, copiers, and fax machines. Knowledge of Medical/Behavioral Health records and the patient registration process, eligibility requirements, and successful interview techniques to ensure demographic information is collected and accurately entered into system. Prefer perform highly specialized technical medical/behavioral health records\' functions, such... For full info follow application link. The Gerald L. Ignace Indian Health Center, Inc. provides equal employment opportunities to applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability. Equal Opportunity employer/Veteran/Disabled. American Indian and Veteran Preference employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D8F829E3BE304620 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.