What are the responsibilities and job description for the Ambulatory Claims Analyst Specialist (72255) position at ONSLOW MEMORIAL HOSPITAL?
Responsible for the billing, review and follow-up of all outstanding patient clinic accounts. This includes but is not limited to timely review of Patient Accounting Desktop, Clearinghouse billing list and Intermediary on line error list. Contact insurance companies and patients, filing primary, secondary and tertiary insurance, re-bills, and review payment remittance. Review line item denials and claim rejections for possible appeal and/or research for resubmission. Be proficient in the use of multiple payer software systems. The knowledge of billing codes including CPT, ICD9, ICD10, HCPCS, Modifiers, CCI Edits, MUE Edits and claim formats. The ultimate result of these efforts should facilitate complete and prompt payments from third party payers to ensure maximum cash flow. May be required to work overtime if needed.
Qualifications:Education:
High School graduate or recognized equivalent GED.
Experience:
Two years of specialized training in billing and follow up procedures.
At least one year relevant experience in a physician based business office setting preferred.