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Billing & Coding Specialist

Company: QSM Health Systems, Inc
Location: Hollywood
Posted on: May 3, 2021

Job Description:

The Billing Specialist is responsible for: Posting weekly charges Transmitting clean claims Audit all claims billed prior to transmission to Medicare and other payers Correct claims that have not been able to pass through the portal due to clerical and / or computer errors Resubmit any denied claims for reconsideration Secondary responsibilities: Assist Referral Coordinator with daily face sheets from facilities and notify providers of new patients Support and aid Collections Department with outstanding claims when needed Prepare notes for ADR's and submission to fiscal intermediaries Assist in preparing letter/notes for ALJ hearings as needed General responsibilities: Handles incoming calls from physicians, skilled nursing facilities, and managed care organizations Obtains approval for "facility-pay" or pro-bono care from the COO. Comply with all departmental policies and procedures. Participate in departmental and company in-services as appropriate. Perform other duties as assigned by Operations Manager. Emphasis will be on compliance with procedures and protocol, internal controls, and maintaining the highest level of workplace behavior. Must be able to communicate well telephonically.

Keywords: QSM Health Systems, Inc, Hollywood , Billing & Coding Specialist, Other , Hollywood, Florida

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