Commercial Ins Spec
AHMC HealthcareAbout the role
Overview
Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.
Responsibilities
Perform various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.
Qualifications
CPT-4, HCPCs, DRG, ICD-9 coding knowledge. Minimum 2 years Insurance/Contract billing and follow up experience in a hospital setting.
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