Coding & Claims Management for Medical Provider (Non-Facility)
TeleMate Health Coding & Claims Management for Medical Provider (non-facility)
https://telematehealth.bamboohr.com/hiring/jobs/28...
At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and fills in the healthcare gaps. We deliver individualized holistic patient care while connecting in a way thats effective for the patient. We are seeking a hardworking and skilled coder and claims management person to join our dynamic team!
Position Overview
As a Coding & Claims Management for Medical Provider (non-facility) for TeleMate Health, you will play a crucial role in supporting our mission to provide accessible healthcare solutions. We currently do not have a dedicated resource to this space, so you will have the autonomy to establish processes and protocols to grow this department from. Our primary market is Tennessee and the midsouth. We would strongly prefer to have this resource reside in this market.
Key Responsibilities
Billing: Preparing and submitting medical claims to insurance companies
Identify the proper codes that correspond with services delivered
Ensure metrics are met for submission to minimize claw back
Submit claims directly to clearing house in a timely fashion
Identify and implement prebilling process that would streamline and improve claim outcomes
Claims processing: Researching, correcting, and resubmitting claims to avoid revenue loss
Mitigate any claim issues or risks during submission
Collections: Handling payments, tracking accounts receivable, and following up on outstanding accounts
Reconcile reimbursements
Documentation: Gathering and verifying patient information, including insurance coverage, demographics, and consent to treat
Supply audit documents as requested
Assist with resolving any discrepancies or issues related claim submissions or reimbursements
Compliance: Ensuring compliance with best practices, policies, and procedures
Remain up to date on changes specific to claims submissions
Identify and implement prebilling process that would streamline and improve claim outcomes
Comply with all safety regulations and contribute to maintaining a safe working environment
Patient communication: Working with patients to arrange payment options, answering questions, and addressing complaints
Identify and implement a process to streamline and maximize ROI v costs
Support: Providing support to other departments and external payers
Maintain insurance credentialing and expand credentialing as needed
Qualifications And Skills
Medical office billing and coding certificate (required)
Certified Revenue Cycle Specialist (CRCS) preferred
Prior experience submitting claims through clearing house
Positive team player with quick learning abilities and a strong work ethic
Excellent interpersonal skills
Detail-oriented with the ability to quickly grasp basic systems
Experience with ClaimEZ and ClaimMD a plus
Experience with insurance credentialing also a plus
What We Offer
Competitive salary and benefits package.
Ability to work remotely - Flexible work hours to promote work-life balance.
Ongoing professional development and training opportunities.
A supportive and collaborative remote work environment.
Location: Nashville, TN (Remote)
Department: Billing/Coding
Employment Type: Part-Time
Minimum Experience: Experienced
Apply Now
https://telematehealth.bamboohr.com/hiring/jobs/28...
At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and fills in the healthcare gaps. We deliver individualized holistic patient care while connecting in a way thats effective for the patient. We are seeking a hardworking and skilled coder and claims management person to join our dynamic team!
Position Overview
As a Coding & Claims Management for Medical Provider (non-facility) for TeleMate Health, you will play a crucial role in supporting our mission to provide accessible healthcare solutions. We currently do not have a dedicated resource to this space, so you will have the autonomy to establish processes and protocols to grow this department from. Our primary market is Tennessee and the midsouth. We would strongly prefer to have this resource reside in this market.
Key Responsibilities
Billing: Preparing and submitting medical claims to insurance companies
Identify the proper codes that correspond with services delivered
Ensure metrics are met for submission to minimize claw back
Submit claims directly to clearing house in a timely fashion
Identify and implement prebilling process that would streamline and improve claim outcomes
Claims processing: Researching, correcting, and resubmitting claims to avoid revenue loss
Mitigate any claim issues or risks during submission
Collections: Handling payments, tracking accounts receivable, and following up on outstanding accounts
Reconcile reimbursements
Documentation: Gathering and verifying patient information, including insurance coverage, demographics, and consent to treat
Supply audit documents as requested
Assist with resolving any discrepancies or issues related claim submissions or reimbursements
Compliance: Ensuring compliance with best practices, policies, and procedures
Remain up to date on changes specific to claims submissions
Identify and implement prebilling process that would streamline and improve claim outcomes
Comply with all safety regulations and contribute to maintaining a safe working environment
Patient communication: Working with patients to arrange payment options, answering questions, and addressing complaints
Identify and implement a process to streamline and maximize ROI v costs
Support: Providing support to other departments and external payers
Maintain insurance credentialing and expand credentialing as needed
Qualifications And Skills
Medical office billing and coding certificate (required)
Certified Revenue Cycle Specialist (CRCS) preferred
Prior experience submitting claims through clearing house
Positive team player with quick learning abilities and a strong work ethic
Excellent interpersonal skills
Detail-oriented with the ability to quickly grasp basic systems
Experience with ClaimEZ and ClaimMD a plus
Experience with insurance credentialing also a plus
What We Offer
Competitive salary and benefits package.
Ability to work remotely - Flexible work hours to promote work-life balance.
Ongoing professional development and training opportunities.
A supportive and collaborative remote work environment.
Location: Nashville, TN (Remote)
Department: Billing/Coding
Employment Type: Part-Time
Minimum Experience: Experienced
Apply Now