Industrial Medicine Billing Specialist - USA Industrial Medicine - USA Health Physicians Group

Overview

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

Responsibilities

• Supports billing and collections at Industrial Medicine
• Oversees the charge submission, coding and reimbursement processes
• Performs precertification and scheduling to include assigning duties, checking work, and preparing performance evaluations
• Performs coding functions for specialist departments
• Identifies appropriate patient case and confirms patient/case information
• Requests new case set-ups and changes to existing cases
• Assist in making necessary demographic and insurance additions, deletions, and changes to guarantor/patient information using a SYSTOC
• Rebills claims as directed
• Corrects and processes insurance edit lists
• Assists with preparation of provider services/charges for submission to appropriate payer to include place of service, facility, provider number, referring number, IC0-10-CM, CPT, and HCPCS
• Assists with researching billing issues and problems
• Processes and research billing inquiries
• Reviews charges for proper diagnosis and procedures codes and requests required attachments for reimbursements
• Assist with reconciling daily batches ad reconciles service logs to ensure capture of all billable services
• Reviews the physician charge processes to maximize charge capture and reimbursement
• Prepares reports for managers
• Recommends and implements new procedures
• Possesses and maintains a high level of familiarity with coding and billing rules and W/C fee schedules, CPT, HCPCS and ICO-10
• Plans and prioritizes workflows to meet deadlines
• Communicates policies and procedures and works with staff to ensure compliance
• Assists with staff development
• Coordinates coding/billing training of office staff
• Completes all mandatory department, educational and hospital requirements
• Adheres to current Infection Control and Safety Standards
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as assigned

Additional Information

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.

Qualifications

• High School Diploma or equivalent and 5 years directly related experience in a medical business office Required
• Medical billing experience and experience with SYSTOC Required
• Comparable combination of education and experience may substitute for the above requirements.