Medical Billing Specialist - Business Services

Christie Clinic's department of Business Services is seeking a full-time Medical Billing Specialist from Monday-Friday 8:00am-5:00pm at the University clinic, with no night or weekend requirements.

Duties include daily keying of MSRs, auditing and correction of charges/claims prior to submission to insurance, working of reports & various sorting duties.

A Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) is required prior to or within 1 year of employment.

(This list may not include all of the duties assigned)

• Audit new claims for accuracy, prior to charges being filed to insurance.

• Remain current and knowledgeable of coding and diagnostic procedures.

• Remain current and knowledgeable of federal legislative changes that may affect outcomes.

• Attend various meetings and professional development programs on a regular basis; make recommendations for revision and/or new department procedures under the direction of the Coordinator.

• Perform Coding related work as required.

• Sorting and completion of paper MSRs.

• Enter data from paper MSRs into the billing system.  Verify information keyed to make sure it was all entered correctly.

• Working through coding issues as assigned in the Charge Review Workqueues.

• Working all coding related Claim Edit Workqueues.

• Working Lab Specials in the Charge Router Workqueue.

• Working through coding issues as assigned in the Follow Up Workqueues.

• Answer telephones, take messages and provide information.

• In depth review and correction of coding errors on new claims.

• Sorting & distribution of incoming faxes.

• Sorting & distribution of incoming mail.

• Processing of no-pay EOBs.

• Working of various reports including, but not limited to the End of Process Report.

• Sending of paper 1500 forms to insurances for remote team members

• Other duties as assigned.

REQUIRED QUALIFICATIONS:

• High School Diploma or equivalent

PREFERRED QUALIFICATIONS:

• Medical claims processing experience

• Microsoft Office Suite experience

• Epic experience

• Some coding experience

CERTIFICATION/LICENSE:

• Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) prior to or within 1 year of employment.

TYPICAL WORKING CONDITIONS:

Demands include sitting, standing, walking, bending, stooping, stretching and lifting up to 20 pounds.  Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity for the operation of office equipment is required.

PAY AND BENEFITS:

The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria. 

We also offer a substantial benefits package, including: