Job Opportunity: Medical Billing Specialist
Eligibility for a $5000 sign-on bonus after fully trained and productivity is consistent. Four days remote and one day on site (Wednesdays).
Working under the supervision of the Central Billing Department Supervisors, you will share responsibilities of being accessible to physicians, staff, and patients regarding billing questions; ensure that all billing functions are completed in a timely fashion and develop billing goals. You will be responsible for accurately coding provider's outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. You will apply knowledge of specialized information specific to coding and medical terminology according to all coding guidelines.
Required qualifications and skills:
- Minimum of 1-2 years of medical billing experience in either charge, payment, or follow-up work
- Minimum of 1-2 years of coding experience for primary care, medical, and surgical specialties or secured CPC, CCS-P coding certifications
- Excellent written and oral communication skills with attention to detail
- Excellent interpersonal and organizational skills
- Competency with ICD-10 and CPT coding guidelines
- Ability to problem solve complicated claims
- Strong time management skills
- Able to multi-task various projects assigned
- Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology
- Experienced in ICD-10 CM and CPT coding systems, guidelines, and conventions, Coding Clinic, and CPT Assistant guidelines
Preferred qualifications and skills:
- Computer proficient
- Strong interpersonal communication skills
- Command of verbal and written English
- Flexible, highly motivated, capable of keeping abreast of constantly changing regulations, guidelines, insurance billing requirements, annual coding updates, and internal data needs
- Ability to interact with co-workers and physicians to resolve coding, documentation, and workflow issues
Education/Training:
- High school diploma or equivalent
- Licenses/Certification:
- CPC or AHIMA coding certification
Essential job functions:
- Organize and code patient medical records for multispecialty providers into CPT and ICD10 codes.
- Act as a liaison and overseer of the billing and claims process between insurers, medical offices, and patients.
- Prepare claims for invoicing to payers and patients.
- Correct rejected/denied payer claims and/or coding errors.
- Track and collect payments from third party payers.
- Work collaboratively with team members to resolve complicated claims.
- Communicate effectively with leadership regarding any delays in claims resolution that is at risk for timely filing.
- Handle confidential information and abide by all Sturdy Memorial Associate HIPAA laws and other billing office policies.
Other duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.