Medical Billing and Coding Specialist

Position Summary: Under the direction of the Chief Financial Officer, duties include, data

entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits, consistently follow up on unpaid claims

utilizing monthly aging reports, filing appeals when appropriate and establish and maintain strong

relationships with providers, clients, patients and fellow staff.

Education/Experience:

Associates or Bachelor’s degree or certification in Medical Billing and Coding or at least 10 years

related experience.

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS

Computer experience is essential, including, but not limited to: practice management software, word processing and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch. Knowledge of medical terminology, attentive to detail, have clerical skills, organizational skills, ability to maintain confidentiality, good telephone etiquette, able to file and keep records and able to use a computer goal-oriented, revenue-driven, highly accurate and motivated Biller

· Experience in CPT, HCPCS and ICD 10 coding; familiarity with medical terminology.

· Excellent customer service skills.

· Strong written and verbal communication skills.

· Ability to manage relationships with various Insurance payers.

· Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

· Neat appearance; pleasant speaking voice and demeanor; positive attitude.

· Responsible use of confidential information.

· Perform to company standards of compliance with policies and procedures.

· Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

Significant Duties and Functions:

· Ensure all claims are submitted with a goal of zero errors.

· Verifies completeness and accuracy of all paper claims prior to submission.

· Accurately Post all insurance payments by line item.

· Timely follow up on insurance claim denials, exceptions or exclusions.

· Meets deadlines.

· Prepares and processes refunds with necessary documentation and submit to Account Manager for approval.

· Utilizes monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.

· Makes necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.

· Responds to inquiries from insurance companies, patients and providers.

· Regularly meets with CFO to discuss and resolve reimbursement issues or billing obstacles.

· Regularly attend monthly staff meetings and continuing educational sessions as requested.

· Perform additional duties as requested by Management team.

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person