Job Description
At our organization, we value the quality of our team members as much as the quality of our service. We offer exceptional benefits and a supportive working environment to our dedicated employees. Currently, we are seeking a qualified Medical Billing and Coding Specialist to join our remote team.
Responsibilities:
ICD-10 Coding: Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and coding guidelines.
Claim Submission: Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with payer requirements and regulations.
Claim Follow-Up: Monitor claim status, identify and resolve claim rejections, denials, and pending issues to expedite payment processing.
Payment Posting: Post payments, adjustments, and denials accurately into the billing system, reconciling payments with billed amounts and contractual agreements.
Registration Issue Resolution: Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing.
Appeal Claims: Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration.
Reconciliation: Conduct regular reconciliation of accounts receivable, identifying discrepancies and taking necessary actions to resolve outstanding balances.
Compliance: Maintain knowledge of current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards and regulations.
Qualifications:
Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
Proficiency in electronic health record (EHR) systems, billing software, and claim submission platforms.
Excellent understanding of insurance billing processes, including claim submission, follow-up, and appeals.
Strong analytical and problem-solving skills, with the ability to identify and resolve billing and coding issues effectively.
Detail-oriented with a high level of accuracy in data entry and documentation.
Effective communication skills, both written and verbal, with the ability to interact professionally with patients, insurance payers, and internal stakeholders.
Certified Professional Coder (CPC) credential or equivalent certification required.
Benefits:
Full-time benefits package including employer-sponsored Major Medical, Dental, and Vision insurance.
Additional benefits include Accidental Death and Disability insurance, Short-term Disability, and Flexible Spending Account.
4.5% 401K matching and generous Paid Time Off.
True opportunities for career advancement in a remote work environment.
Employment Type: Full-Time
Salary: $ 17.00 26.00 Per Hour
Job Tags
Hourly pay, Full time, Temporary work, Flexible hours,