Medical Biller And Coder

ReveLution is a third-party billing company committed to providing the highest quality of billing services to our clients. Our company prioritizes being an inclusive workplace with a commitment to mutual respect within our diverse team.

We are currently seeking a certified coder and Medical Biller to join our team who has experience within the medical billing and coding field and demonstrates a drive to excel in their work. We seek to bring on individuals who take great pride in their work to join our dynamic, growing team.

SCHEDULE: Full time; Monday-Friday. Day Shift

LOCATION:

• This role is fully remote, work from home position.

ELIGIBLE STATES: While this position is fully remote, ReveLution is currently limited to hiring from the following states - AL, AZ, NV, TN, TX, WA.

POSITION SUMMARY:

This position is in our Radiation Oncology specialty department, and the coding and billing role will perform coding and claim entry, as well as follow-up on claims to ensure timely reimbursement or dispute claim denials. We are seeking team members that also have the skillset to field patient billing department calls and aid patients in understanding their insurance benefits and a breakdown of their billing statement.

This role is referred to internally as the "Full Revenue Cycle Biller" who works claims from start (coding and claim entry) to finish (following through on claims in Accounts Receivable). Many coders and billers find the ability to work their accounts all the way through very rewarding vs. a more fragmented role working.

We want to fill this position with a team member who prefers performing that full revenue cycle role.

The successful candidate will be an enthusiastic self-starter who demonstrates independent problem-solving skills, willingness to tackle the ever-changing scenarios presented by insurance companies in the billing sphere, and the ability to multi-task and handle obstacles with a poised demeanor and a positive attitude.

PRIMARY JOB DUTIES:

Coding and billing daily tasks include, but are not limited to, the following:

• Reviewing physician documentation and assigning codes (CPT, HCPCS, and ICD-10)
• Applying coding modifiers accurately
• Submitting accurately coded claims
• Handling patient billing calls
• Reviewing claim EDI rejections
• Reviewing claim denials and resolving root denial issues through reconsiderations, appeals, and other resolution actions.
• As well as a host of other duties to ensure timely reimbursement to the medical provider

QUALIFICATIONS INCLUDE:

• Coding Certification Required: CPC or CPC-A, CPB, ROCC, etc.
• 1+ years experience in medical billing required.
• Bi-lingual Spanish-speaking applicants are preferred.

SKILL SETS:

• Comfortable working across a wide variety of technology platforms, including web-based portals and applications, and computer software applications.
• Knowledge of Medicare, Medicaid/AHCCCS, and third-party billing practices.
• Ability to communicate in a clear, professional, and timely manner with all team members.
• Comfortable working directly with physicians to request outstanding documents, discuss appropriate coding practices, etc.
• Well-versed in CPT, HCPCS, and ICD-10-CM coding.
• Working knowledge of Microsoft applications Word®, Excel®, etc.
• Strong self-management skills and the ability to effectively and efficiently organize workflow
• Excellent telephone etiquette and verbal and written communication.
• Detail-oriented with good problem-solving skills.
• Ability to follow through to completion on all assignments.

Job Type: Full-time

Salary: $17.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Medical office
• Remote

Application Question(s):

• Do you reside in one of the following states: AZ, NV, TN, TX?

Location:

• Edinburg, TX (Required)

Work Location: Remote