Medical Billing Specialist
1 week ago
We seek experienced professionals with expertise in GI procedures, Anesthesia, and Pathology to fill a key role. The ideal candidate will have a strong focus on billing, modifier usage, reading reports to calculate accurate anesthesia units, payment processing, claim follow-up, denial management, and efficient resolution of denied claims while staying informed about new payers and policies.
Key Responsibilities:
- Maintain sound knowledge of billable CPT and ICD codes for GI procedures, Anesthesia, and Pathology.
- Stay up-to-date with LCD and NCD policies for payers to ensure billing compliance with insurance guidelines.
- Understand reading reports to calculate accurate anesthesia units, modifier usage for GI procedures, Anesthesia, and Pathology CPT codes.
- Ensure accurate processing of claims, including eligibility verification and benefit coordination.
- Communicate with insurance providers and patients to resolve claim-related issues.
- Minimum graduation required.
- Experience in GI procedures, Anesthesia, and Pathology billing, payment processing, claim follow-up.
- Must have experience with AdvantX Practice Management solutions and Waystar Clearing House.
- Strong knowledge of insurance processes, billing guidelines, and new payer policies.
- Excellent communication, problem-solving, and organizational skills.
- Proficiency in Excel.
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