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Billing & Collections Specialist Job in Morris Plains, New Jersey

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Job Title: Billing & Collections Specialist

Employer:Primary Care Partners
Skills:Medical Billing,Collections,Coding
Required Certifications:CPC certification
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location: Morris Plains 07960, NJ, US
Date Posted:8/1/2018

Position Summary:  Responsible for reviewing, analyzing, and coding diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. 



Responsibilities & Duties:

  • Review electronic medical record sources for accuracy and coding compliance
  • Correctly code physician charges, procedures, evaluation and management, diagnostic testing and diagnosis using appropriate diagnosis and codes
  • Maintain compliance with rules and regulations regarding coding
  • Assure the final diagnoses and operative procedures as stated by the physician are valid and complete
  • Reach out to physicians when necessary to confirm coding
  • Audits records to ensure proper submission of services prior to billing on predetermined selected charges
  • Analyzes provider documentation to assure the appropriate evaluation and management levels are assigned using the correct code
  • Quantitative analysis – performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered
  • Review insurance denials and determine appropriate action on denied claims as assigned


If interested in applying, please e-mail resume to HRDept@ahsinvestmentcorp.org.

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