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Quality Assurance Coordinator

Company: Community Medical Group
Location: Homestead
Posted on: September 20, 2022

Job Description:

Duties and ResponsibilitiesDetermine patient invoice by capturing services noted in patient chart; clarifying services with physicians.Identify responsible party by examining patient record.Issue invoice by entering service data; calculating charges; mailing invoices.Resolve billing issues by discussing contract with third-party payer; explaining insurance contract with patient; negotiating settlement.Review and evaluation tool for accuracy and adherence of medical encounters to accepted national industry standards, plan benefits and authorization guidelines.Maintain patient and invoice files by entering and adjusting data.Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends.Assist with credentialing process for onboarding physician(s).Following up with insurances to ensure physician(s) added to the group contract.Maintain physician credentialing files.Assist with data entry as needed.Assist with patient billing inquiry.Preform other duties as needed.Education/Experience:1.Must have High School diploma or equivalent.2.Certified in Medical Billing and Coding3.Experience with Medicaid and Medicare preferred.4.MS Office programs experience (Word, Excel, PowerPoint, etc.)5.At least one year of experience in billing and coding

Keywords: Community Medical Group, Homestead , Quality Assurance Coordinator, Other , Homestead, Florida

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