- June 12, 2018
Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.
- Experience with Microsoft Word, Excel, and Office. Type 60 WPM.
- Able to address customer needs while following company procedures.
Medical Billing ▪ Medical Office ▪ Medical Administrative ▪ Patient Registration ▪ Medical Terminology
Medical Records Management for the Billing Specialist ▪ Meaningful Use
Medical Practice Management Systems ▪ Introduction to CPT, ICD-9-CM, and ICD-10-CM Coding
Charge Entry ▪ Payment Posting ▪ Denials ▪ Appeals ▪ Referrals ▪ Accounts Receivable
Greenway ▪ Electronic Medical Records (EMR) ▪ Electronic Health Records (EHR)
Insurance Verification ▪ Reimbursement Systems ▪ Medical Basics and Healthcare Claim Cycle
Healthcare Payers ▪ Managed Care (HMO, PPO, and POS)
Medicare / Medicaid Government Payers ▪ Third Party Payers
HIPAA Compliance ▪ Medical Charts ▪ Basic Anatomy & Physiology ▪ Healthcare Settings
Computer Systems and Software Applications for the Medical Office
Prepare and submit claims to various insurance companies electronically and by paper.
Perform collections; correct and resubmit claims.
Schedule and confirm appointments in assisted living facilities, doctor’s offices, health care clinics, hospitals, and organizations that offer medical services.
Resolve product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution
Maintain financial accounts by processing customer adjustments
Recommend potential products or services to management by collecting customer information and analyzing customer needs
Prepare product or service reports by collecting and analyzing customer information
Contribute to team effort by accomplishing related results as needed
Manage large amounts of incoming calls
Generate sales leads
Identify and assess customers’ needs to achieve satisfaction
answer or referring inquiries
Direct visitors by maintaining employee and department directories
Maintain security by following procedures
issue visitor badges
Run the copy/ fax machines