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The Medical Billing and Claims Associate is responsible for applying appropriate ICD-10 and CPT codes to ensure claims are billed correctly, accurately, and timely processing patient health insurance enrollment/waiver verification, in-office and third-party billing, and claims, while providing outstanding customer service. The Medical Billing and Claims associate reviews billing reports and insurance claims for accuracy, updating and editing Electronic Medical Records software. This position processes billing functions in the POS and EMR systems, Student Health Insurance submission and verification, and claims.
Under the direction of the Assistant Director of Health Insurance, Billing, and Claims, the Medical Billing and Claims Associate processes data entry via students’ email and Insurance software submission of health insurance documentation for Student Health Insurance waivers. Additionally, processes data entry and verification for patient Health Insurance card submission in the EMR system, ensuring all patients with Health insurance have submitted documents before the scheduled appointment. Communicates with students regarding the procedures and updates to submit the Student Health Insurance waiver and enrollment process and deadline. Supports students enrolled in the Student Health Insurance Plan with reviewing their health insurance account, receiving their insurance card, submitting claims, adding dependents, etc.
The successful candidate must have at least 3 years of medical billing and coding experience, including experience reviewing, updating, and verifying ICD-10 and CPT codes. They must also have experience in insurance and claims in a hospital or medical practice, and a deep understanding of medical billing and coding rules and regulations.
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