Medical Billing / Coding Representative - University Cancer Specialists

University Physicians' Association

Posted 3 months ago

Full Time

Alcoa, Tennessee

In Person

Smart Summary

Responsibilities

Responsible for verifying medical codes, processing insurance claims, and managing patient registration and charge posting. The role involves resolving claim denials and ensuring accuracy for infusion claims while adhering to HIPAA guidelines.

Qualifications

You have a High School education or equivalency, with preferred medical billing courses or college experience. You possess knowledge of computer programs, basic medical coding, and third-party operating procedures. Your ability to maintain confidentiality and adhere to HIPAA guidelines is crucial for this role.

Must Have Skills for ATS

ICD-10

CPT

HIPAA

Charge Posting

Claim Scrubbing

Job Description

Description

University Physicians' Association is looking for a full-time Medical Billing / Coding Representative for University Cancer Specialists located in Alcoa, TN.

JOB TYPE:

Full-time; Monday – Friday 8:00am – 4:30pm

JOB DUTIES:

This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.

  • Verification of ICD-9/ICD-10 coding
  • Verification of CPT codes and correct coding with modifiers
  • Data entry; patient registration, insurance verification, charge posting
  • Correctly applies copays to patients date of service out of pre-collect and or/ unapplied
  • Verification and processing of claim scrubber reports for coding/billing guidelines, following billing and practice specific processes
  • Verifies claims by reviewing documentation, authorizations, HCPCS codes, and units
  • Works in numerous computer systems 
  • Research, work, and resolve claims denials 
  • Ensure coding, pharmacy, and administration charge accuracy on infusion claims
  • Maintain strict confidentiality and adheres to all HIPAA guidelines
  • Perform other billing and revenue cycle–related duties as assigned

Full benefit package available, including PTO, Sick Leave, Medical, Dental, Vision, STD, LTD, Life Insurance, 401k with company match and immediate vesting, more!

Requirements

REQUIRED EDUCATION & TRAINING:

Requires High School education or equivalency, medical billing courses or college preferred.

REQUIRED EXPERIENCE:

1. Medical Billing office preferred.

2. Knowledge of computer programs.

3. Ability to operate computers and basic office equipment.

4. Knowledge of basic medical coding and third-party operating procedures and practices.

5. Ability to read, understand written and oral instructions.

6. Must be well organized and detail oriented.

PHYSICAL DEMANDS:

Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.

University Physicians' Association

Knoxville, Tennessee University Physicians' Association, Inc. (UPA) is a physician-owned company created to serve business and physician practice management needs, offering solutions for over 28 years. UPA's expertise and versatility enable our partners to focus on care delivery. UPA employs over 1,000 clinical and non-clinical team members that drive collaboration toward healthy balanced growth.
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