Medical Biller Auditor
Company: Exceptional Healthcare Inc.
Location: Dallas
Posted on: May 16, 2022
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Job Description:
Exceptional Healthcare is a group of 13 Emergency Centers and
two community hospitals. We are a growing company that is now in
need to improve our revenue cycle for continued growth. As an
independent operator of emergency care in Texas and Arizona.
General Job Description
This position is responsible for auditing medical facilities and
professional claims for accuracy and compliance with industry laws
and contractual language on behalf of our clients. Candidates must
possess a strong understanding of Medicare and Medicare guidelines.
Must display a high degree of independent judgment and professional
skepticism that enhances the work performed to achieve success in
this position.
MAJOR DUTIES AND RESPONSIBILITES
Minor Duties And Responsibilities
Ensure all claims are submitted daily with a goal of zero
errors
Timely follow up on insurance claim status
Reading and interpreting an EOB (Explanation of Benefits)
Respond to inquiries by insurance companies
Denial Management
Meet with Billing Manager/Supervisor to discuss and resolve
reimbursement issues or billing obstacles Any additional duties as
requested by management
Qualifications For The Job
Education:
High School Diploma required
College degree preferred
Experience:
3+ years of Claims Coding or Medical Billing experience
Knowledge and understanding of CMS-1500 and UB-04 Medical Claim
Forms; Medicare Reimbursement / Denial experience preferred
AAPC, AHIMA, NHA Coding Certification, or the LAMBDA CMRS
Certification required ICD-10 Proficient is required
Other:
Communication (written, verbal, and listening), interpersonal and
analytic skills
Ability to use software related to job responsibilities including
MS Office with proficiency in Excel and Outlook
KEY COMPETENCIES
Analytical Skills,
Communication
Billing Knowledge
Denial Management
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Keywords: Exceptional Healthcare Inc., Dallas , Medical Biller Auditor, Healthcare , Dallas, Texas
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