Sanctum Integrated Health Services, Llc in Elkton, MD is looking for one medical biller/coder/credentialer to join our 4 person strong team. Our ideal candidate is self-driven, ambitious, and reliable. Sanctum Integrated Health Services, is a new private multi-specialty practice that has a part-time position with career growth opportunity and revenue bonuses. This position is not remote but has some flexibility in work days and hours.
Responsibilities
- Review patient information and translate services into correct codes
- Input medical data entry into patient account systems
- Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology)
- Able to check, verify and recommend correction of coding according to coding regulations
- Assist with billing/coding policies
- Communicate with insurance providers and medical staff
- Verify coverage and eligibility for medical services
- Communicate with insurance providers and patients
- Review patient bills and correct any missing or inaccurate information
- Use a billing software to prepare and transmit claims
- Collect unpaid claims and clear up discrepancies
- Investigate and appeal claims that were denied
- Complete data entry to update spreadsheets and reports
- Work with patients to set up payment plans
- Adapt to updates and changes in billing software
- obtaining pre-authorizations for certain procedures
- Ensures that information in CAQH is uptodate and Attestments are completed in an accurate and timely manner
- Escalates issues to management as appropriate
- Prepares and sends credentials to insurance company for enrollment and re-enrollment.
- Process follow-up requests with insurance companies
- Maintain and track insurance payer contract's expirations date
- Knowledge and be proficient with Office Ally supper bills and clearing house utilization.
- Maintaining Continuing education to stay current with regulation changes
Qualifications
· Must have 2-3 years experience in medical billing/coding
· Effective organizational skills with the ability to manage multiple responsibilities
· Medical billing certification from an accredited school, Certified Billing & Coding Specialist (CBCS) exam, the Certified Professional Coder (CPC) exam, and the Certified Coding Associate (CCA) exam.
· Proficiency with computers and medical billing software
· Proficient with EMR/Practice management platforms.
· Knowledge of unfair debt collection practices and insurance guidelines
· Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS
· Communication skills with patients/healthcare companies
· Basic accounting and bookkeeping practices
· Associate or Bachelors Degree is high preferred, but not required.
We are looking forward to reading your application.