Jan 29, 2025

Experienced Billing & Coding Specialist for Multi-specialty Outpatient Health Center

Full Time (CPC) Certified Professional Coder (CPB) Certified Professional Biller

Job Description

We are seeking an experienced and versatile Medical Billing & Coding Specialist to join our in-house billing division and support our growing team of multi-specialty providers. ERHC personnel must be able to learn quickly, adapt to change, and maintain flexibility while ensuring a quality healthcare experience. The ideal candidate will be able to excel in a dynamic, highly patient-centered environment.

 Essential Job Duties

  • Support billing to a variety of third-party payers, to include to commercial insurance, Workers’ Compensation agencies, and public emergency agency departments
  • Work directly with ERHC clinical providers to assist with chart review and coding optimization; provide timely and accurate review of E&M and CPT billing codes to ensure accuracy; and consult with clinical providers to clarify missing or inadequate claim information
  • Assign appropriate codes (ICD, CPT, HCPCS) into the practice EMR for diagnoses, treatments, and services rendered
  • Send claims, perform follow-up, troubleshoot errors, and appeal/resolve third-party insurance company denials in a timely manner
  • Assist in resolving patient billing discrepancies and collections; manage outstanding AR accounts to ensure timely reimbursement collections; send patient statements and collect past-due payments
  • Maintain current knowledge of major insurance carrier regulations, procedures, and benefit plans
  • Act as a knowledge resource for in-house clinical and administrative staff for billing and coding concerns
  • Assist with updating the charge master fee schedule and researching insurance allowables for various E&M and CPT codes (for insurance companies and the Idaho Industrial Commission)
  • Provide VIP customer service to ERHC patients with regard to billing concerns

Schedule

  • Full-Time, weekdays (5 days/week), in-person

Minimum Eligibility Requirements

  • Expert knowledge of Medical Billing & Coding profession and standards
  • Certified Professional Coder (preferred) -and-
  • Certified Professional Biller (preferred)
  • Minimum 2 years’ medical office experience in a Medical Billing & Coding role, ideally in an outpatient clinic setting; 3 - 5 years preferred
  • Strong understanding of diagnosis (ICD) and procedure (CPT) coding systems
  • Ability to communicate effectively and resolve concerns with patients, providers, and insurance carriers
  • Understanding of revenue cycle receivables from both patients and insurance carriers
  • Understanding of insurance claim adjustments
  • Strong attention to detail; strong written and oral communication skills; superior customer service skills
  • Ability to focus and multi-task in a busy practice environment while maintaining a high level of accuracy and efficiency
  • Ability to maintain patient confidentiality with strong adherence to standard privacy practices for Protected Health Information
  • Demonstrated proficiency in clinic-based EMR applications; knowledge of eClinicalWorks a plus

Why Join Our Team

Health Care … the way it was meant to be.

  • Make a difference supporting top-caliber clinicians to care for everyday heroes and their families, focusing on preventative wellness services and mindful lifestyles
  • Collaborate with dedicated family medicine, mental health, physical therapy, and allied wellness providers to maintain a dynamic, inter-disciplinary practice
  • Work for a renowned, locally-owned, and patient-centered practice, where health and wellness are the real bottom line

Compensation

Competitive, based on experience.

 Benefits

  • Health, Dental & EAP Benefits (for employees at 30 hours/week or greater)
  • Paid Time Off (PTO)
  • 401K, 4% Match

To Apply

Submit your resume and cover letter to:

Nathan Bodily, ERHC Clinic Director

nbodily@er-hc.org

Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

2-4 years

Required Travel

No required travel

Applicant Location

US residents only