Medical Biller Sr at QTC Management, Inc. in San Dimas, California

Job Description:

Job Summary:

Responsible for compiling amounts owed to medical facility. Reviews and maintains orders, invoices and records to ensure accuracy. Maintains all patient payment records. Has knowledge of commonly-used concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job.

Essential Duties and Responsibilities:

• Responsible for reviewing and billing medical reports and diagnostic testing results accurately and promptly


• Assigns proper Current Procedural Terminology (“CPT”) Coding for Procedures performed indicated by medical and diagnostic reports


• Review amounts posted in the system for billings to clients and payments to physicians/partner providers


• Work with Operations to ensure proper procedures are followed


• Serve as liaison between QTC and physicians/partner providers to resolve payment discrepancies Work with Provider Relations department to ensure proper payment to physicians/partner providers


• Responsible for auditing billing reports to ensure accurate billing through period close Work with Audit department to ensure billing accuracy


• Other projects and duties as assigned

Competencies

• Knowledge of medical billing practices


• Knowledge of ICD-9 (International Classification of Disease, Ninth Edition), CPT and HCPC (Healthcare Common Procedure Coding System) coding, medical terminology and CMS (Centers for Medicare & Medicaid Services) guidelines including NCCI (National Correct Coding Initiative)edits


• Ability to work in a high volume billing environment


• Knowledge of business and accounting processes


• Must be well organized and detail oriented


• Understands HIPPA privacy practices

Education and/or Experience (includes certificate & licenses)

• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.