Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
A high school diploma or GED is required.
Knowledge of medical terminology, including Current Procedural Terminology (CPT) and International Classification of Diseases, Tenth Revision (ICD-10).
Knowledge of medical billing procedures, coding, Medi-Cal, Medicare, workers’ compensation, and health maintenance organization/preferred provider organization (HMO/PPO) insurance programs.
Knowledge of self-pay and collection procedures.
Knowledge of inpatient and outpatient professional billing.
Excellent phone etiquette and verbal communication skills.
Strong computer skills, including proficiency with Excel and Word, and strong math skills.
Strong customer service skills and the ability to establish and maintain effective working relationships with employees, patients, and the general public.
Strong attention to detail, ability to perform research, and ability to examine documents for accuracy and completeness.
Ability to maintain confidentiality of sensitive information.
Ability to work independently and manage multiple priorities.
Ability to accurately type 45 words per minute.
Ability to work in a climate-controlled office environment, sit for extended periods, read and write to process paperwork, and perform keyboarding and other repetitive office tasks; vision and hearing must be sufficient to perform normal job duties.
Responsibilities
Perform claims research, appeals, and related follow-up using the Epic electronic medical record (EMR).
Follow up on accounts until they have no balance or are turned over for collection.
Assist with answering the telephone and provide information as requested.
Perform other work as required.
Desired Qualifications
CPC or equivalent certification is preferred.
Three or more years of related work experience in a medical billing environment is preferred.
Description
Pulmonary Medicine Associates (PMA) has been treating patients in the greater Sacramento area since 1973 and is a unique and exciting place to work. With specialties that include critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, and sleep medicine. We are a busy practice with over 80 providers and 2 outpatient clinic locations.
PMA currently has a full-time Billing Representative position available. PMA offers a competitive salary and exceptional benefits including medical, dental, vision, life, LTD, PTO, and 401k with generous company match. Please visit our website at www.pmamed.com to learn more. PMA is an equal opportunity employer.
Duties Include:
· Performs claims research, appeals and related follow up using the Epic EMR.
· Follows up on accounts until no balance or turned over for collection.
· Assists with answering the telephone and provides information as requested.
· Performs other work as required.
Requirements
Knowledge, Skills and Abilities:
· High school diploma or GED.
· CPC or equivalent certification preferred.
· Three plus years related work experience in a medical billing environment preferred.
· Knowledge of medical terminology, including CPT and ICD-10.
· Knowledge of medical billing procedures, coding, Medi-Cal, Medicare, worker’s compensation and HMO/PPO insurance programs.
· Knowledge of self pay and collection procedures.
· Knowledge of in-patient and out-patient professional billing.
· Excellent phone etiquette and verbal communication skills.
· Strong computer skills, including Excel and Word proficiency, and strong math skills.
· Strong customer service skills and ability to establish and maintain effective working relationships with other employees, patients and the general public.
· Strong detail orientation, ability to perform research and ability to examine documents for accuracy and completeness.
· Ability to maintain confidentiality of sensitive information.
· Ability to work independently and juggle multiple priorities.
· Must be able to accurately type 45 WPM.
Physical Requirements/Working Conditions:
Must be able to work in a climate controlled, office environment. Sit for extended periods of time. Ability to read and write in order to process paperwork. Manual dexterity needed for keyboarding and other repetitive office tasks. Vision must be good or corrected to normal to perform normal job duties. Hearing must be good to have the ability to understand information to perform job duties.