Responsible for managing and performing efficient and effective Accounts Receivable functions for physician clients with consistently high productivity as measured by the transaction volume and quality of work performed.
insurance denials, rejections resulting from errors in patient masterfile/insurance policy information.
DCH Standards:
Must be certified by National Accreditation such as AHIMA or AAPC as a Certified Professional Coders (CPC) or Certified Coding Specialist (CCS) or Radiology Certified Coder (RCC). Detailed knowledge and experience of health provider insurance claims software processing for a private/professional medical practice setting. Prior experience do physician/provider professional fee billing is preferred. Detailed knowledge and experience of insurance coverage processes. Experience with computer billing/collection systems and past experience filing insurance required. Detailed knowledge and experience of all coding/billing/insurance/processes including detailed coding knowledge and experience consisting of at least ICD10 CM, CPT, HCPS, utilization of modifiers, bundling edits, etc for part B, HCFA 1500 claim filing.
Holds active coding certification from National Accreditation for physician practice setting.
Demonstrated ability to work well with public physicians and staff in a mature responsible self-confident manner. Very good interpersonal/communication skills, customer service skills and history of good attendance required. Must be able to read, write legibly, speak, and comprehend English.
WORKING CONDITIONS
Physical presence onsite is essential. Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation.
Valid driver’s license and automobile liability insurance. Very good interpersonal communication and customer service skills required.
Physical: Medium work – Exerting 20 – 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to more objects. Physical Demand requirements are in excess of those for Light Work. Good manual and finger dexterity. Ability to tolerate prolonged periods of sitting. Some light driving required.
Psychological: Contact with Others, Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.
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