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Billing Specialist

Company: Ophthalmic Surgeons & Consultants of Ohio, Inc.
Location: Columbus
Posted on: November 21, 2020

Job Description:

POSITION: Pre-Cert and Pre-Determination SpecialistsDEPARTMENT: Business OfficeREPORTS TO: Business Office SupervisorJOB SUMMARY: This individual is responsible for all procedure Pre-Cert and Pre-Determination.EDUCATION AND EXPERIENCE:

  • High School diploma or equivalent.
  • Two years minimum experience in medical office; billing and collections experience perferred.ESSENTIAL SKILLS AND ABILITIES:
    • Excellent communication skills, written and oral.
    • Strong organization skills with attention to detail.
    • Excellent follow-up skills.
    • Management of multiple tasks simultaneously.
    • Work as a team player by demonstrating ability to work well and get along with co-workers.RESPONSIBILITIES:
      • Responsible for all calls to insurances for pre-cert on in-office procedures.
      • Responsible for all calls to insurances for out-patient surgery for pre-determinations.
      • Responsible for all faxes and mailings to insurance for pertinent information for medical necessity.
      • Must call insurances to inquire on eligibility for surgery.
      • Contact key personnel on denials. Make sure surgery scheduler informs physician of denial.
      • Responsible for all Botox orders on patients that have to have an authorization.
      • Speaks with patients in regards to their questions they may have on their pre-cert or pre-determination.Other Duties assigned, but not limited too:
        • Checks the mail when the Payment Poster is not available.
        • Help send out statements
        • Pull files for A/R or RX line

Keywords: Ophthalmic Surgeons & Consultants of Ohio, Inc., Columbus , Billing Specialist, Accounting, Auditing , Columbus, Ohio

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