DUTIES:
- Strong understanding of medical terminology and anatomy with the ability to analyze patient charts and other documentation to translate into standardized codes.
- Ability to apply correct codes such as ICD10 CPT HCPCS modifiers and other relevant coding systems requirements.
- Knowledge of insurance claim forms (HCFA UB) coding and billing requirements.
- Attention to detail with the ability to verify codes are correctly assigned and supported by medical documentation.
- Clarify ambiguous or vague documentation with appropriate staff member to ensure compliant billing.
- Responsible for updating patient accounting systems with codes charges insurance and patient demographics.
- Ability to proficiently perform the function of one area within the Revenue Cycle Department in areas such as coding registration cash posting insurance follow-up customer service and electronic claim submission.
- Basic knowledge of Revenue Cycle functions and concepts in at least 1 key area
- Basic knowledge of all payors (commercial government third-party contract etc.)
- Ability to apply basic accounting principles and methods
- Basic analytical skills
- Ability to utilize billing software clearinghouses and other software applications and tools
- Ability to work on assigned reports with limited supervision
- Ensures quality customer service is provided to all patients including but not limited to: taking inbound patient phone calls properly verifying insurance coverage filing insurance claims insurance follow-up payment posting and returning phone calls in a timely fashion
- Ensures the accuracy of charges applied payments posted denial/follow-up procedures and documentation
- Meets established quality and productivity standards.
- Stays current on ambulance coding and regulatory billing guidelines
- Stays current on healthcare accounts receivable billing and collection procedures. Including any additions and changes to insurance laws
- Maintains confidentiality of information as assigned and abides by all applicable laws and the corporate compliance program.
- Demonstrates continuous effort to improve operations streamline work processes and work cooperatively and jointly to provide quality and seamless customer service.
- Maintains positive working relationships with internal and external customers
EDUCATION/EXPERIENCE:
- High School Diploma or equivalent required
- Associate degree preferred
- Experience in healthcare revenue cycle process preferred
- Excellent verbal communication skills
- Demonstrated ability in the use of Microsoft products
- Ability to perceive and distinguish emotions during interactions with people via telephone and respond courteously
- Maintain acceptable attendance and adhere to scheduled work hours
- Ability to work within a team-oriented fast-paced customer-focused environment
CERTIFICATIONS/LICENSES/REGISTRATIONS:
- Certified Ambulance Coder (initial certification only) preferred
Individuals must not be excluded from filing claims to any federal or state government payor.
Interested applicants must complete the online application and upload a resumeNO LATER THAN August 29th2025to be considered for the position.
If you have any further questions please contact Sarah Latimer at
Required Experience:
IC