Billing Specialist, Athens Medical Group

Location:Crawfordsville, IN
Salary Range:--
Exempt/Non-Exempt:Non-Exempt
Benefits:Benefits eligible
Type:Full-Time
Facility:Athens Medical Group
Description:Under minimal supervision, is responsible for maintaining working knowledge of coding and payer requirements in assigned area. Responsible for reviewing claims for assigned areas and insuring that claims are submitted according to payer guidelines. Responsible for working with physicians’ staff, identifying educational needs of staff and providing coding/billing information to staff in a timely manner.
Duties:
  • Perform/oversee coding of all office and hospital charges for assigned physicians and non-physician providers.
  • Communicate with site manager and front office staff regarding billing concerns/issues.
  • Handle patient inquiries as needed.
  • Review all “first pass” error reports in claim submission to identify where errors originate.
  • Correct errors on error report and ensure claim goes through to payer.
  • Provide feedback to assigned practices of error rate and reasons and follow up with additional education as needed.
  • Function as coding resource for assigned practices and be available to assist charge posting staff as needed.
  • With other coders, develop and maintain intra-office coding resource to update practices on Medicare/Medicaid guidelines.
  • Work with patient account representatives in resolving rejected claims.
  • Qualifications:
  • Comprehensive knowledge of Medicare, Medicaid and third party payer guidelines.
  • Familiar with common resources in resolving coding questions.
  • Ability to communicate well with physicians and their staff.
  • Working knowledge of E/M documentation guidelines

    Minimum Position Qualifications
  • High school diploma or equivalent
  • Minimum 3 years’ experience in Adminstrative Billing/coding


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