RCM Billing Specialist: Claims Scrubbing & Reimbursement

Allergy Partners; Asheville (NC); Presencial; USD 25.000 - 39.000; Tempo integral

Resumo da vaga

Allergy Partners in Asheville, NC seeks a RCM Billing Specialist to scrub claims for billing accuracy. You will retrieve claims from EMR, review documentation, and ensure correct charges, pointers, modifiers, and NDCs to prevent denials.

You will collaborate with hub personnel, providers, and the coding team to resolve issues and approve batches. Qualifications include a high school diploma or equivalent, 18+ months in medical office reimbursement, proficiency with MS Excel/Word, and strong

Qualificações

• High school diploma or equivalent required.
• Minimum eighteen months experience in a medical office reimbursement department.
• Proficiency with MS Excel and MS Word; familiarity with practice management software.
• Understanding of Explanation of Benefits forms and the insurance billing process.
• Strong written and verbal communication skills.

Responsabilidades

• Retrieve claims from the Electronic Medical Records (EMR).
• Review EMR documentation where appropriate.
• Diagnosis coding for known appropriateness for the visit and for carrier guidelines.
• Ensure charges, diagnosis pointers, modifiers, and NDCs are correct with no duplicates.
• Ensure correct provider, site, insurance, filing type, and referrals/authorizations are selected.
• Work exceptions caught by system scrubbing.
• Work Front End Rejections.
• Communicate with hub personnel, provider, coding team and others within the CBO.
• Approve and batch claims.
• Periodically check for unretrieved charges.

Conhecimentos

Medical billing knowledge

Attention to detail

Communication skills

HIPAA compliance

Formação

High school diploma or equivalent

Ferramentas

MS Excel

MS Word

Practice management software

Descrição da vaga

Allergy Partners in Asheville, NC seeks a RCM Billing Specialist to scrub claims for billing accuracy. You will retrieve claims from EMR, review documentation, and ensure correct charges, pointers, modifiers, and NDCs to prevent denials.

You will collaborate with hub personnel, providers, and the coding team to resolve issues and approve batches. Qualifications include a high school diploma or equivalent, 18+ months in medical office reimbursement, proficiency with MS Excel/Word, and strong