Medical Billing Specialist (Las Vegas)

WHAT IT TAKES TO BE PART OF OUR TEAM

Are you an exceptional Medical Billing Specialist who absolutely thrives on being part of an accountable team? Can you dedicate yourself to being part of a team serving the needs of children and their families? Do you bring the highest standards of integrity and professionalism to your team? Do you thrive in an environment where you are valued and appreciated for who you are, how hard you work and for that something special you bring to the teams you choose to work with? Are you looking for an organization that offers competitive compensation and one of the broadest and most comprehensive benefit packages available in the field of healthcare?

This is a role that requires a multi-disciplinary team approach to solving problems and patient challenges. "That's not my job" or "someone else can do it" is not in our team vocabulary because we are here to be of support to each other. The primary goal is to bring the best patient care and experience for our area's children.

SUMMARY: Responsible for collecting and reviewing clinical documentation with the purpose of submitting claims to insurance companies. The position is responsible for coding and submitting claims for oncology, genetics, gastroenterology, physical therapy, speech therapy, and neuropsychology services. This is a non-exempt, hourly position that reports to the Revenue Cycle Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES

a) Accurately code and enter all services performed including hospital charges.
b) Cross reference drugs administered from nurse notes to pharmacy log.
c) Prepare and submit clean claims to various insurance companies either electronically or by paper.
d) Ensure accurate submission of claims.
e) Process billing for medications dispensed through our pharmacy.
f) Respond to department requests for information, assistance, and corrections.
g) Interact with physicians and nurses to obtain information to accurately bill for services
h) Meet mid-month and month-end deadlines.
i) Maintain current expertise of coding, contracts, rules and requirements. Research and maintain knowledge on payer billing policies and requirements.
j) Participate in educational activities, team huddles, and meetings with other departments to improve billing accuracy and efficiency.
k) Submit KPI/monthly reports as directed by supervisor.
l) Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
m) Perform other duties as directed.

Interested in Applying?

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