11/17/2022
Phoenix Psychiatry LLC
860-937-5708
Amendez@phoenixxpsych.com
Part Temp Job Description
Phoenix Psychiatry offers flexible and supportive work environment, opportunity for growth and learning.
We currently have an opening for a Medical Billing/Coding Specialist. This position is a part time position.
Responsibilities:
• Reviews charge slip coding for accuracy and completeness.
• Researches appropriate procedure, diagnosis and/or modifier codes when missing or unfamiliar for approval by supervisor or physician.
• Obtains proper diagnosis, procedure and modifier codes when omitted and corrects existing codes to reflect the most current and accurate codes in a timely manner.
• Plans, organizes and provides training and education to physicians and staff in the proper use of service and diagnostic codes to maximize reimbursement and minimize denials/re-filing of claims.
• Reviews and communicates trends in denied claims due to changes in filing requirements or coding problems.
• Maintains and updates CPT and ICD-10 coding files, books and newsletters from Medicare, Medicaid, other insurance companies and Health System policies and procedures.
• Enters charges in the billing system with accuracy and in a timely manner.
• Answers questions on appropriate use of CPT, ICD-10 modifier codes and Medicare/Medicaid regulations.
• Review, process, edit, and approve claims for filing either electronically or on paper.
• Determine the cause of Explanation of Benefit denials, pull supporting data from patient charts and billing system, and work with insurance companies to resolve issues related to outstanding claims.
• Assist with posting insurance payments, denials, and adjustments.
• Review accounts receivable and follow-up with patients and insurance companies on outstanding balances.
• Answer customer calls and written correspondence on issues related to billing.
• Provides support to the front end staff on billing issues.
• Performs other duties as assigned by supervisor and/or manager.
Qualifications:
• Education: High school graduate or equivalent.
• Broad knowledge of Medicare and Medicaid.
• Must have attended recent courses in coding or demonstrated advanced coding and reimbursement experience.
. Knowledge of Behavioral Health population diagnosis and coding
• Must have computer knowledge, typing skills and knowledge of basic mathematics to make simple calculations.
• Previous experience in insurance billing, ICD-10 and CPT coding and charge entry.
• Minimum of two years of experience in a clinic setting.
• Must demonstrate a friendly and caring attitude with good telephone and communication skills.
• Accurate data entry skills preferred over speed. Ability to collect data, establish facts and draw valid conclusions.
