Must be able to follow claim and resolve. Must also have knowledge of PPO, HMO, Medi-Cal and Medicare Insurance plan guidelines. Ability to audit credit accounts, Knowledge of ICD-10, CPT, HCPCS and LCD/NCD coding including ensuring compliance to accepted guidelines.
Cerner experience PREFERRED.
Requirements: Applicant must be proficient in hospital-based physician billing and collections with at least 2-3 years' experience. STRONG PHYSICIAN Accounts Receivable experience. Must be able to follow claim and resolve.