Job
Description
Experience with in hospital billing (UB-04)
with IPA & Commercial claims processing
At least 2 years of experience in hospital
billing & Proficient in Payment systems
Comprehensive knowledge of Under payment &
Over Payment scenarios,
Manage high-value and aged accounts receivable
claims while ensuring accurate documentation in billing systems.
Achieve daily productivity and quality
standards while adhering to HIPAA regulations and payer guidelines.
Job
Requirements
Experience with hospital billing
(UB-04) with IPA & Commercial claims processing
Strong knowledge in
inpatient (IP) and outpatient (OP) billing workflows, denial
management and appeals process
At least 2 years of experience in
medical billing, specializing in Payment systems and contract sheet validation
(IPPS & OPPS, APC Fees Schedule, DRG & APRDRG)
Proficient
in Revenue codes, and HCPCS denial, with a comprehensive understanding of
reimbursement methodologies, bundled payments, Case rate concepts, Payment
variance identification
Experience
in working with EMR / Practice Management Systems and ability to work on aged
AR and high-value accounts