Billing Coding Specialist- Remote
About the position
Responsibilities
• Code claims according to coding and billing guidelines.
• Bill claims in accordance with payor guidelines.
• Investigate payer-rejected claims to determine reason for denial and work to obtain resolution.
• Prioritize and work HOLD an MGR HOLD buckets.
• Verify patient insurance coverage and eligibility.
• Update patient records with accurate insurance information.
• Manage accounts receivable and follow up on overdue payments.
• Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes.
• Support the revenue cycle by ensuring claims are dropped within 2 days of the current date.
• Assist in general administrative tasks as needed.
• Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead.
• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
• Perform other duties as required.
Requirements
• Solid understanding of billing software and electronic medical records.
• Prefer experience with Athena system.
• Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing.
• Understanding of HIPAA regulations and medical terminology.
• High school diploma required.
• Experience with Excel required.
• 1 or more years' experience as an outpatient coder.
• Minimum of 3 years' experience with claims billing.
Nice-to-haves
• Demonstrated interest in working with an underserved population.
Benefits
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
Apply Now
Apply Now
Responsibilities
• Code claims according to coding and billing guidelines.
• Bill claims in accordance with payor guidelines.
• Investigate payer-rejected claims to determine reason for denial and work to obtain resolution.
• Prioritize and work HOLD an MGR HOLD buckets.
• Verify patient insurance coverage and eligibility.
• Update patient records with accurate insurance information.
• Manage accounts receivable and follow up on overdue payments.
• Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes.
• Support the revenue cycle by ensuring claims are dropped within 2 days of the current date.
• Assist in general administrative tasks as needed.
• Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead.
• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
• Perform other duties as required.
Requirements
• Solid understanding of billing software and electronic medical records.
• Prefer experience with Athena system.
• Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing.
• Understanding of HIPAA regulations and medical terminology.
• High school diploma required.
• Experience with Excel required.
• 1 or more years' experience as an outpatient coder.
• Minimum of 3 years' experience with claims billing.
Nice-to-haves
• Demonstrated interest in working with an underserved population.
Benefits
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
Apply Now
Apply Now