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
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