Billing Assistant

Description:

The Billing Assistant provides support to the billing & collections department in an effort to expedite case management. The billing assistant's primary responsibility is to mail clean claims in a timely manner with the appropriate documentation to the payor responsible.

Responsibilities:

* Responsible for mailing paper claims for 30-35 Centers with an average monthly volume of 10K-15k.

* Review Clearinghouse EDI Payer 's and EMR system to see if claim can be sent electronically vs paper.

* Print all paper claims from Vision/Advant

X, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included.

* Ensure overall claim alignment and claim formatting, per payer guidelines.

* Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims.

* Scan and upload claims & supporting documentation to the daily work folder and/or claims management system.

* Notate in the EMR system with date claim was sent, mailing address, and supporting documentation mailed with claim.

* Manage claim queues to ensure that cases are assigned to the correct team member for processing.

* Collaborate as a team to mail over payment letters and review returned mail twice a week.

* Monitor communication and automation between various systems to ensure documents are getting to the coding team in a timely manner.

* Coordinate with the billing team to update corrections that need to be addressed in greater detail are completed.

* Complete additional duties as assigned.

Required Skills:

Requirements:

* 1-2 years' experience in medical billing and/or accounts receivables preferably in an ASC setting.

* Knowledge of CPT & ICD-10.

* Strong attention to detail.

* Ability to complete independent assignments with minimal supervision.

* Basic knowledge of payers, EOB's and claims processing.

* Basic knowledge of billing software, vendors, and clearinghouses.

* High School Diploma or equivalent.