Essential Duties and Responsibilities:Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codesPrioritize workflow to ensure timely claim submissionKnowledge of state and federal insurance regulationsAbility to analyze and problem solve complex issuesKnowledge of billing requirements, coverage and benefitsUphold Medicare, Medicaid and HIPAA guidelinesIdentifies and communicates documentation issue trendsUtilize various resources to locate insurance payers for ambulance transportationContact the hospital, patient's family, and/or patient to obtain insurance informationFax partner hospitals requests for informationValidate and update patient demographics in the practice management systemResponsible for the accurate entry of data into the practice management systemThis position requires specialist to spend extended periods of time on the phone with insurance companiesReports quality and documentation issues to the department headQualifications:Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)Knowledge of medical terminologyResearches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codesPrioritize workflow to ensure timely claim submissionKnowledge of state and federal insurance regulationsAbility to analyze and problem solve complex issuesKnowledge of billing requirements, coverage and benefitsUphold Medicare, Medicaid and HIPAA guidelinesIdentifies and communicates documentation issue trendsReports quality and documentation issues to the department headKnowledge of Medical BillingAbility to work independently and with a groupWorking knowledge of MS Word, ExcelAbility to maintain effective working relationships.Ability to type at least 35 words per minute.Proficiency using 10 keyEducation and Experience Requirements:High School Diploma or GEDMinimum of one year revenue cycle management experience preferredOther Requirements:Must have access to high-speed internetPosition is remote, but must be within 100 miles of OKC or Tulsa OklahomaPhysical Requirements:Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.The employee may occasionally be required to lift and/or move up to 20 poundsSpecific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.Must be able to talk, listen and speak clearly on telephone.Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.Travel Time: NegligibleNOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.#J-18808-Ljbffr