The Billing Integrity Specialist - Allergen Immunotherapy reports to the Supervisor, Allergen Immunotherapy Billing and is responsible for entering allergen immunotherapy charges, reviewing them for accuracy, and ensuring compliance with federal and payer coding and billing regulations. The role researches payer manuals and guidelines, monitors billing rules, supports charge entry accuracy, and helps resolve billing issues and denials.
Requirements & Qualifications
- High school diploma or GED equivalent
- Coding certification from AHIMA or AAPC preferred
- 2 years of physician office charge entry/billing following complex rules
- 2 years of experience in physician office operations
- Strong oral and written communication skills
- Proficiency with Microsoft Excel, Word, and electronic health records
- Preferred: 4 years of physician charge entry following complex rules
- Preferred: 2 years of billing for multiple physicians and locations
- Preferred: experience with practice management software and an EMR
- Preferred: knowledge of medical terminology
- Preferred: experience in allergy specialty physician billing
- Knowledge of billing and coding complexities related to specialty physician office charge entry
- Ability to use independent judgment and manage confidential information
- Understanding of HIPAA and protection of PHI
- Ability to analyze and solve problems
- Strong communication and interpersonal skills
- Knowledge of regulatory and policy issues related to coding and billing
- Knowledge of current and developing issues and trends in medical billing and payer requirements
- Ability to communicate billing requirements clearly to providers, practice managers, and staff
- Experience with electronic health records and physician practice management/billing applications
- Excellent organizational skills and ability to manage multiple tasks within deadlines
- Ability to communicate and work effectively across departments
Location
North Carolina, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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