|Company Name:||Kanad Hospital|
|Employment Type:||Full Time|
|No. Of Vacancies:||1|
|The Billing Associate is responsible for timely submission of claims to insurance companies for Inpatient, Outpatient and Day case claims.|
Education: Degree in any related field preferably life science background. AHIMA or AAPC certification is optional.
Duration and type of Experience: Minimum of three (3) years billing experience in any setting i.e., hospital, clinic, home health, or other related healthcare field is required. In addition to medical billing, knowledge of medical coding will be a plus.
Job functions and Key Accountabilities:
Adhere to the DOH Claims and Adjudication rules and payer guidelines
Acts as a resource when necessary for pre-authorization.
Excellent interpersonal skills while interacting with physicians, nurses and other staffs.
Be a mentor for the team members and work with team to ensure high level of accuracy.
Ensure high level of patient data confidentiality.
Knowledge on Diagnosis related grouping
Knowledge in Schema validation rules.
Utilizes tools available in 3M to ensure accurate coding.
Ensure knowledge on deductibles, co-payments, co-insurance amounts, insurance exclusions and other policies of all insurances that Kanad Hospital is dealing with.
Critical thinker with ability to perform root cause analysis, prepare and implement action plans and lead improvement initiative.
Perform other related duties incidental to the work described herein