JOB RELATIONSHIPS
-
Responsible to CMG Administrator
DEFINITION OF POSITION
-
The Professional Medical Billing Specialist is responsible for oversight of the revenue cycle for Carteret Medical Group. Specific duties require claims submissions, cash posting, review of payments ensuring appropriate collections for each service, following up on all rejected claims and serving as the liaison between the practice and the third party payors.
QUALIFICATIONS
Professional
-
High School graduate or equivalent required.
Proficient skills in Allscripts strongly preferred.
Understands the implication of each element in the revenue cycle
Skill in gathering and reporting claim information
Skill in trouble-shooting claim insurance problems
Skill in written and verbal communication and customer relations
Knowledge of billing practices and clinic policies and procedures
Knowledge of coding and clinic operating policies
Knowledge of health care insurance claim practices and compliance
Knowledge of computer systems, programs, and applications
Knowledge of medical terminology
Ability to understand and interpret policies and regulations
Ability to read and interpret medical charts.
Ability to examine documents for accuracy and completeness
Ability to communicate effectively and work with others
Ability to work effectively with physicians, other medical staff, and external agencies
Ability to identify and analyze claim problems
PIdbff48883ed1-37437-36544959
