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Billing Manager

Manages the billing team to ensure that clients are invoiced promptly for services provided and to resolve customer issues leading to timely collection of receivables. Collaborates with the Accounts Receivable and Billing team to coordinate and execute billing of clients.: Researches and resolves inquiries involving billing discrepancies, account status, adjustments, etc. Manages and controls the billing process, including timeliness of billing, collections, and systems management. Tracks projects and invoices. Collaborates with the Business Analyst to report the profitability of projects and/or customers as needed. Updates all systems with source billing information, such as contracted prices, etc. Reports on receivables status as required. Performs Accounts Receivable month, quarter, and year closing, reporting, and review. Forecasts sales and reports internally. Develops strategies to streamline and improve the automation of customized billing. Implements internal controls and issues policies and procedures to ensure consistency and standardization for automated billing process in all offices. Reviews and documents processes and maximizes efficiencies of team tasks.

Network Billing Systems Manager

Directs and oversees the daily operations of the Network Billing Department in a telecommunications organization. Ensures proper billing of network usage. Develops and implements new billing solutions to improve departmental accuracy and efficiency. Oversees the activation and maintenance of the billing system to ensure accurate billing of telecommunications network usage. Manages the timely resolution of billing discrepancies.: Develops and implements solutions to ensure ordering management flows efficiently from order processing to billing and accounting. Serves as the senior billing system subject matter expert. Demonstrates understanding of function and capabilities of billing application. Manages and improves customer invoice generation and delivery. Manages rate plans and product catalog. Reviews and analyzes billing reports for month-end close, outstanding dispute resolution status, and ad hoc. Analyzes the monthly reports of billed revenue and audits invoices to ensure accuracy and monitor trends. Develops processes to improve billing data validation, integrity, and accuracy. Ensures that causes of any billing error discrepancies are analyzed and communicated to Customer Service for resolution. Maintains and improves billing and collections statistics. Ensures compliance with all tax regulations. Implements Sarbanes Oxley controls and continuous process improvements. May work on special projects including updates of operational policies and procedures.

Medical Records Coding Technician

Compiles and maintains medical records of patients of health care delivery system to document patient condition and treatment. Reviews medical records for completeness and to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems. : Compiles medical care and census data for statistical reports on types of diseases treated, surgery performed, and use of hospital beds, in response to inquiries from law firms, insurance companies, and government agencies. Maintains and utilizes variety of health record indexes and storage and retrieval systems. Operates computer to process, store, and retrieve health information. Assists Medical Records Administrator in special studies or research as needed. May code medical records for reimbursement purposes.

Compliance and Coding Specialist

Monitors and implements compliance procedures covering the privacy of access to patient health information. Reviews medical records for completeness and to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using standard classification systems. Typically exists in a health plan or within a medical facility or institution. Typically requires the equivalent of an associate's degree and two to three years of related compliance experience and training in CPT and ICD-9 coding.: Coordinates all internal and external changes associated with products or services to assure legal compliance with regulatory guidelines. Conducts regular compliance audits and investigates/resolves complex compliance issues. Compiles medical care and census data for statistical reports on types of diseases treated, surgery performed, and use of hospital beds, in response to inquiries. Develops and maintains an organized, methodical documentation system for communicating, implementing, and managing new and existing regulatory requirements. Establishes and administers a process for receiving, documenting, tracking, investigating, and taking action on complaints concerning privacy policies and fraud concerns. Organizes and maintains files of contracts, records, and correspondence. Maintains and utilizes variety of health record indexes and storage and retrieval systems. Operates computer to process, store, and retrieve health information. Prepares, proofreads, and distributes reports, correspondence, forms, etc., of a specialized and confidential nature. May assist in the development of contracts and procedures to ensure compliance. May also develop, implement, coordinate, and monitor a fraud and abuse compliance program. May deal with patient/client files and other patient/client specific information of a confidential nature.

Coding Specialist

Evaluates and codes medical records data for statistical and billing purposes, using standard classification system: Reviews medical records to abstract data concerning patient's medical condition and treatment or procedures rendered. Contacts medical service providers to clarify or confirm diagnoses and procedures. Analyzes and interprets abstracted data, applying knowledge of medical reference manuals for assistance with interpretation of data. Codes medical terms corresponding to patient's diagnosis and treatment, using computerized classification systems. Enters assigned codes into online database for subsequent retrieval and use in billing or statistical compilation. |May manually code medical data, using standard classification system manuals and code books. May bill patients or medical insurance companies for services rendered, and be designated Medical Coder-Biller.

Coding File Clerk

Classifies materials according to subject matter and assigns numbers or symbols from predetermined coding system to facilitate accurate filing and reference: scans correspondence, reports, drawings, and other materials to be filed to determine subject matter. Ascertains specified number or symbol, using code book or chart, and marks or stamps code on material. Assigns cross-indexing numbers if subject matter should be classified and filed under more than one heading. May revise coding system to improve code usage.

Premium Billing Account Analyst

Coordinates and analyzes group insurance customer billing and accounts receivable. Performs most work independent of direct supervision. Typically requires a minimum of one year of experience in customer billing and accounts receivable.: Contacts customers by telephone and mail regarding payments, banking programs, billing options, account reconciliations, collections, cancellations, and lapses. Discusses reinstatements with customers. Analyzes and reports financial information. Interacts with other departments and performs special tasks to obtain and/or coordinate customer billing and accounts receivable information.

Premium Billing Account Analyst (Mentor)

Responsible for group insurance customer billing, accounts receivable and commission payments. Contacts customers by telephone and mail regarding payments, banking programs, billing options, account reconciliations, collections, cancellations and lapses. This position typically requires a minimum of three years of experience in customer billing and accounts receivable.: Responsible for group insurance customer billing, accounts receivable and commission payments. Performs work independent of direct supervision. Contacts customers by telephone and mail regarding payments, banking programs, billing options, account reconciliations, collections, cancellations and lapses. Discusses reinstatements with customers. Analyzes and reports financial information. Interacts with other departments and performs special tasks to obtain and/or coordinate customer billing and accounts receivable information. Provides training and guidance to less experienced Premium Billing Account Analysts. This position typically requires a minimum of three years of experience in customer billing and accounts receivable.

Insurance Billing Clerk

Reviews billing data from medical office or hospital records to ensure amounts and account numbers are accurate. Prepares invoices, compiling itemized charges, and submits invoices for reimbursement. Answers patient's questions regarding statements and insurance coverage.: Computes billing charges and assigns billing numbers for tracking purposes. Contacts insurance company to verify medical insurance coverage for patient and to obtain information concerning extent of benefits. Reads computer printout to ascertain monthly costs, schedule of medical procedures completed, and type of procedures performed for customer. Prepares invoices, compiling itemized charges, and submits invoices for supervisory approval of charges and credit terms. Prepares forms for governmental, welfare, and other agencies paying bill of specified patient.

Network Billing Systems Analyst

Activates and maintains the billing system to ensure accurate billing of telecommunications network usage. Coordinates the processing, auditing, and payment of telecommunications service provider invoices for accuracy and timeliness. Researches and resolves billing discrepancies or conflicts to assure corrections and credits are completed prior to the next invoice being generated.: Collaborates with other departments to assure ordering management flows efficiently from order processing to billing and accounting. Serves as a billing system subject matter expert. Demonstrates understanding of function and capabilities of billing application. Monitors customer invoice generation and delivery. Assists with the development of rate plans and product catalog and ensures these are up to date in the billing system. Creates and prepares billing reports for the month-end close, outstanding dispute resolution status, and ad hoc. Reviews customer bills and ensures these are in accordance with contract pricing. Analyzes the monthly reports of billed revenue and audits invoices to ensure accuracy. Ensures all necessary documentation, including contracts, addendums, service changes, and price schedules, are received for new and existing customers. Monitors billing data validation, integrity, and accuracy. Identifies and communicates causes of any billing error discrepancies to Customer Service for resolution. Works with billing operations to correct any errors in invoice processing. Maintains and improves billing and collections statistics. Assists in calculation of telecommunication and sales taxes. Ensures compliance with all tax regulations. Assists in implementing Sarbanes Oxley controls and continuous process improvements. May assist with special projects including updates of operational policies and procedures.



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