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Billing Specialist Medicare Part B

Company: Caris Healthcare
Location: Knoxville
Posted on: February 14, 2020

Job Description:

OverviewThe medical billing specialist will be responsible for all scrubber duties along with the timely submission of technical or professional medical claims to the billing entity for all insurance companiesResponsibilities1.---------------- Prepares and maintains palliative care patient billing files.2.---------------- Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program.3. -------------- Participates in the quality program (IOP).4.---------------- Reviews and edits claims prior to billing to ensure accurate and clean claim submission.5.---------------- Meets all billing and accounts receivable deadlines during the month and at month-end.6.---------------- Prepares and distributes unsubmitted billing list to appropriate personnel weekly.----7.---------------- Reviews all remittance advices for contractual adjustments, withholds and bad debt.-- Attaches documentation for justification, as needed.8.---------------- Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary.-- -- -- -- -- --9.---------------- Documents all accounts receivable follow-up and maintains in patient billing file. --10.------------ Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program.11.------------ Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily.12.-- -- -- --Responsible for taking and processing of referrals, when needed.--13.-- -- ------Maintains branch locations monthly unbilled if assigned.14. ---------- Reports any ADRs to Compliance Officer and Regional Director of Clinical Care.Qualifications--- A high school graduate or the equivalent preferred.--- Must be proficient in Medicare Part B billing--- Proficient in claim scrubbing--- Must be experienced with PC's and be familiar with common office----------software, such as word processing and spreadsheets, etc.----- Must be well organized and detail-oriented.----- Overnight travel may be required.--- Must be able to communicate articulately and comprehend written and ---- verbal communications.----- Must be able to function efficiently in a stressful work environment.

Keywords: Caris Healthcare, Knoxville , Billing Specialist Medicare Part B, Accounting, Auditing , Knoxville, Tennessee

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