<p>A Surgery Center in Los Angeles is in the need of a Surgery Medical Billing Collections Specialist.The Surgery Medical Billing Collections Specialist must have at least 2 years of experience in the healthcare industry. The Surgery Medical Billing Collections Specialist must be able to work review aged EOBs and resolve denials. </p><p><br></p><p>DUTIES AND RESPONSIBILITIES</p><p> -Performs full cycle billing and collection functions for Surgical professional fees</p><p> -Verify patient eligibility, authorization status and primary payer information via CareConnect and Insurance portals prior to claim submission</p><p> -Performs all data entry and charge posting functions for surgical services as needed </p><p> -Performs all third party follow-up functions for all products and surgical procedures.</p><p> -Reviews EOBS and Denials. Make corrections as required and resubmit the claim for payments</p><p> -Work on the Athena Work Dashboard / Claim list on a daily basis for all services assigned</p><p> -Performs daily review of Urgent Care provider chart notes to assure that documentation is complete and supportive of submitted charges prior to billing.</p><p> -Provides the correct ICD-10M code to identify the provider's narrative diagnosis</p><p> -Provides the correct HCPCS code to identify medications and supplies </p><p> -Provides the correct CPT code to accurately identify the services performed based on the provider's documentation.</p><p> - Reviews all surgical operative reports and assigns appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons</p>