Clinic - Biller - Administration
Company: Prime Healthcare
Location: Weslaco
Posted on: April 8, 2021
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Job Description:
Responsibilities The Biller is responsible for submitting claims
to the appropriate intermediaries and to insure that procedures and
charges are coded in compliance with all payers including Medi-Cal
and/or Medicare regulations. Responsible for obtaining required
authorizations necessary for the processing and payment of claims.
The Biller is responsible for the follow-up and denial management
as necessary for final resolution. Responsible to identify the
various types of diagnosis and procedures codes (ICD9, CPT, HCPCS,
DRG) as they relate to reimbursement. Communicates clearly and
efficiently by phone and in person with clients and staff members.
Maintains productivity standards and reports. Obtains updated
demographic information and all necessary information needed to
comply with the various Government Programs billing requirements.
Operates computer to input follow up notes and retrieve collection
and patient information. Maintains proficiency in Medical
Terminology Qualifications Education and Work Experience
Keywords: Prime Healthcare, Edinburg , Clinic - Biller - Administration, Healthcare , Weslaco, Texas
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