ENCODER

Job Details

Job Location

AL Capstone Claims - Northport, AL

Position Type

Full Time

Education Level

High School

Travel Percentage

None

Job Shift

Day

Job Category

Admin - Clerical

Description

SUMMARY: Compiles data and prepares claims for electronic filing and invoicing.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Responsible for accurate and timely preparation of ambulance billing claims.

• Review daily data entry to ensure completeness and accuracy of billing information.

• Complete call information into billing program, assign reason for transport code, add charges and set claims to file ensuring compliance with all local, state and federal guidelines.

• Ensure all required documentation is on hand to file a claim.

• Maintain knowledge of relevant laws regarding billing.

• Investigate/gather information on accounts using a wide variety of resources within the scope of local, state and federal laws.

• Determine order of primary, secondary, and/or other responsible parties for ambulance fee charges and bill appropriately.

• Participate in Quality Improvement activities including audits, peer review and data collection activities.

• Maintain confidentially of information as assigned.

• Maintain positive working relationship with internal and external customers.

• Perform other duties as assigned.

Qualifications

MINIMUM QUALIFICATIONS:

• B. A. or equivalent strongly recommended.

• High School Diploma

• One year medical billing experience preferred

• Knowledge of submission of insurance claims to Medicare, Medicaid and other insurance carriers.

STRESS FACTORS:

Occasionally: Repetitive tasks, high pressure

Frequently: Intense tasks.

PHYSICAL REQUIREMENTS:

Occasionally: Walking inside, carrying no greater than 25 pounds, kneeling, stooping, bending, and leaning.

Frequently: Hearing/listening, clear speech, touching, typing.

Constantly: Sitting, seeing.

WORKING ENVIRONMENT:

Occasionally: Extended day.

Constantly: Works alone, with and around others, face-to-face and verbal contact, inside/outside.

MENTAL REQUIREMENTS:

Frequently: Analyzing, decision making.

Constantly: Simple reading and writing, high writing skills, clerical, memorization, problem solving, simple math skills, judgment, reasoning, prioritization.

EQUIPMENT USED:

Occasionally: Terminal, fax, computer/typewriter, keyboard, stapler, calculator.

Frequently: Telephone