Billing & Coding Specialist
Company: QSM Health Systems, Inc
Posted on: May 3, 2021
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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