Houston, TX 77001
Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
Answer patient questions on patient responsible portions, copays, deductibles, write-off's, etc. Resolves patient complaints or explains why certain services are not covered.
For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer.
Follows HIPAA guidelines in handling patient information.
May have to verify patient benefits eligibility and coverage.
Ability to look up ICD 9 diagnosis and CPT treatment codes from online service or using traditional coding references.
Must have at least 3 years of experience in billing and coding. Must have experience in billing and collection for a Speciality clinic that performs outpatient procedures and diagnostic imaging. ENT billing experience in preferred but not required. CPC cerification is preferred but not require