Medical Billing Specialist - Business Services - Hybrid (On-Site Training)

Christie Clinic's department of Business Services is seeking a full-time Medical Billing Specialist from Monday-Friday 7:00am-3:30pm at the University clinic, with no night or weekend requirements.There is a possibility of working hybrid remote in the future following the successful completion of training and competencies as determined by the department.

Duties include daily keying of MSRs, auditing and correction of charges/claims prior to submission to insurance, working of reports & various sorting duties.

A Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) is required prior to or within 1 year of employment.

JOB DUTIES: (This list may not include all of the duties assigned)

• Audit new claims for accuracy, prior to charges being filed to insurance.

• Remain current and knowledgeable of coding and diagnostic procedures.

• Remain current and knowledgeable of federal legislative changes that may affect outcomes.

• Attend various meetings and professional development programs on a regular basis; make recommendations for revision and/or new department procedures under the direction of the Coordinator.

• Perform Coding related work as required.

• Sorting and completion of paper MSRs.

• Enter data from paper MSRs into the billing system. Verify information keyed to make sure it was all entered correctly.

• Working through coding issues as assigned in the Charge Review Workqueues.

• Working all coding related Claim Edit Workqueues.

• Working Lab Specials in the Charge Router Workqueue.

• Working through coding issues as assigned in the Follow Up Workqueues.

• Answer telephones, take messages and provide information.

• In depth review and correction of coding errors on new claims.

• Sorting & distribution of incoming faxes.

• Sorting & distribution of incoming mail.

• Processing of no-pay EOBs.

• Working of various reports including, but not limited to the End of Process Report.

• Sending of paper 1500 forms to insurances for remote team members

• Other duties as assigned.

REQUIRED QUALIFICATIONS:

• High School Diploma or equivalent

PREFERRED QUALIFICATIONS:

• Medical claims processing experience

• Microsoft Office Suite experience

• Epic experience

• Some coding experience

CERTIFICATION/LICENSE:

• Certified Professional Coder Apprentice (CPC-A) or Certified Professional Coder (CPC) certification through the American Academy of Professional Coders (AAPC) prior to or within 1 year of employment.

TYPICAL WORKING CONDITIONS:

Demands include sitting, standing, walking, bending, stooping, stretching and lifting up to 20 pounds. Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity for the operation of office equipment is required.

PAY AND BENEFITS:

The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria.

We also offer a substantial benefits package, including: