Medicare Billing Associate-Hybrid

Job Title

Medicare Billing Associate

Pafford Medical Services, Inc. – Oklahoma City

PMBS

Medicare Billing Lead

• Full-Time
• Nonexempt

Responsible for processing, researching, analyzing, and managing ambulance claims for assigned payor types.

• Ensure claims are billed on a timely basis
• Monitor postings and billing to ensure accuracy and compliance with company policies and healthcare regulations.
• Work with commercial insurance, Medicare, Medicaid, HMO's and clients to collect all balances
• Manage actions related to delinquent accounts and minimizes write-offs
• Provide technical assistance to staff for training purposes and problem solving
• Achieve performance goals and objectives (individual or departmental) as established by the manager
• Manage resources to meet department goals
• Communicate effectively with all levels of staff
• Other tasks as needed.

• Knowledge of Medicare, Medicaid, private insurance, HMO's and hospice billing
• Analyzed accounts receivable for accuracy and filed reconsideration on denied claims.
• Submit, adjust, and void Medicare and Medicaid claims efficiently.
• Experience working with insurance portals
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
• Working knowledge of medical terminology/ICD-10 codes, preferred
• Knowledge of medical terminology
• Ability to work independently and with a group

• High School Diploma or equivalent

• Must have access to high-speed internet-at least 20mbps download, and must be hardwired
• In person and hybrid in the Oklahoma City area

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
• The employee may occasionally be required to lift and/or move up to 20 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception,and the ability to adjust focus.
• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen and speak clearly on telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Negligible

The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.