Billing/Coding Specialist

Job Summary

Responsible for entering and coding patient services into a computer system and generating invoices to be sent to the patient. Sorts and files paperwork, handles insurance claims, and performs collections duties.

Primary responsibilities

  • Translate patient information and into alphanumeric medical code.
  • Collect, post, and manage patient account payments.
  • Submit claims to insurance.
  • Prepare and review patient statements.
  • Review delinquent accounts and call for collection purposes.
  • Process payments from insurance companies.
  • Maintain strict confidentiality.
  • Code patient services and enter into computer.
  • Sort and file paperwork.
  • Ensure healthcare facilities are reimbursed for all procedures.
  • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
  • Know several different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
  • Use computers to read and organized charts.
  • Follow up to see if a claim is accepted or denied.
  • Investigate rejected claim to see why denial was issued.
  • Investigate insurance fraud and report if found.

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