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Billing COVID 19 Specialist (Georgetown, TX)

Company: Lone Star Circle of Care
Location: Georgetown
Posted on: November 16, 2021

Job Description:

The Billing COVID 19 Specialist performs functions as related to requesting eligibility, obtaining a member number, working a change in payer to the COVID 19 Uninsured Program including splitting encounters as needed, filing claims, and working any follow-up rejections/denials. The employee will work dashboard reports related to the COVID 19 Uninsured Program. The Billing COVID 19 Specialist directly affects the unit of clinic profitability by submitting claims to the COVID 19 Uninsured Program. Daily Job Duties: + Responsible for keeping current on requirements related to the COVID 19 Uninsured Program. + Working from several dashboards related to the COVID 19 Uninsured Program. + Converting Self Pay and MAP/MAP Basic patients to the COVID 19 Uninsured Program and performing 60+ Change in Payers per day including filing of the claim. + Splitting MAP/MAP Basic encounters as needed by moving the COVID related charges to their own encounter. + Reviewing and Correcting errors identified through clearinghouse rejections. + Works assigned patient refunds related to the COVID 19 uninsured plan by the monthly deadline through Refund Manager. + Works assignments with both accuracy and efficiency to reduce errors in all areas related to encounters within the NextGen billing system including but not limited to (Change in Payers, adjustments, balance control, refunds, reading balances/credits). + May provide training on areas of expertise such as change in payers related to the COVID 19 Uninsured Program. + All other duties as assigned related to the COVID 19 Uninsured Program. + Customer Service: + Answers incoming calls to the billing department through PureCloud timely and with professionalism utilizing AIDET and LOC skills + Responsible for following assigned phone schedule and being available during assigned schedule + Provides customer service to patients by educating them on insurance policies and billing procedures + Provides customer service to LSCC clinic staff by educating them on insurance and billing procedures + Provides customer service to Insurance Companies while calling to check claim status, submitting appeals/reconsiderations over the phone and while checking status on overpayment requests REQUIRED EXPERIENCE, EDUCATION, AND LICENSE: + Minimum of a high school diploma and/or GED + Minimum, two (2) years of medical billing AR experience and/or one (1) year of medical billing AR related education and one (1) year medical billing AR experience PREFERRED EXPERIENCE, EDUCATION, AND LICENSE: + Proficiency with MS Office Suite (Word, Excel, and Outlook) + Bilingual English/Spanish language skills are a definite plus External Company Name: Lone Star Circle of Care External Company URL: http://www.lscctx.org/ Street: 205 E. University Ave

Keywords: Lone Star Circle of Care, Georgetown , Billing COVID 19 Specialist (Georgetown, TX), Accounting, Auditing , Georgetown, Texas

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