1 wayne professional services llc biller full time Job in greenville, oh

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Wayne Professional Services LLC - Biller - Full Time

Wayne Hospital Company

Greenville, OH | Full Time

$41k-48k (estimate)

2 Weeks Ago

Wayne Professional Services LLC - Biller - Full Time

Wayne Hospital Company Greenville, OH

$41k-48k (estimate)

Full Time 2 Weeks Ago

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Wayne Hospital Company is Hiring a Wayne Professional Services LLC - Biller - Full Time Near Greenville, OH

The Medical Biller/coder will review and post office, surgery, and ancillary charges and receipts for multi-specialty practice which includes primary care, general surgery, OBGYN, and cardiology.

Qualifications

Associates Degree in related field, i.e.: Medical billing, Medical Office Administration, preferred
1 year previous medical billing and professional coding
High School Diploma or GED
High degree of knowledge with ICD-10 and CPT Coding
Knowledge of Medicare, medicate, Medicare HMO, Medicad HMO, and commercial plans
Must be detail oriented, highly organized, and possess strong communication skills

Skill and Responsibility

Responsible to review and post charges and receipts.
Claims management and evaluation of payments, denials, and appeals.
Ensure timely and compliant billing and coding
Prepare and submit claims via electronic billing system (EPIC)
Ensure medical documentation required or requested by insurance companies is provided
Review coding and compare to the progress notes for accuracy
Follow up with insurance companies on unpaid claims until the claims are paid or only a self-pay balance remains
Investigate claim rejections and denials.
Process rejection of EOB’s, electronic EDI reports, electronic remits
Work with providers and other medical personnel to ensure that correct diagnosis/procedures are reported and documented to the insurance companies.
Post insurance adjustments.
Maintain collection of outstanding patient accounts.
Maintain confidentially of all information.
Maintain and update patient account information.
Other duties as assigned.