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Billing & Coding Specialist 2 - Remote *CPC Required*

Posted 3 days ago
$22 - $25 per hour
2-5 years experience
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AI Summary

The specialist is responsible for processing, correcting, and collecting payments for medical claims while ensuring accurate documentation in the EMR. They also handle billing-related inquiries from patients and communicate with providers regarding claim documentation.

*An active Certified Professional Coder certificate is required to be considered for this role*

Schedule: Monday-Friday 8am-5pm

Pay Range: $22-25 per hour, dependent on experience

 

SUMMARY OF JOB DUTIES:

The person handling this position is responsible for correcting, completing, and processing and collecting payment for claims of all payer codes.

ESSENTIAL JOB FUNCTIONS:

  • Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account to be completed within 24 business hours of the completed service.
  • Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
  • Monthly input of all ancillary services including Nursing Home and Home Health charge encounters into the computer to assure accuracy of services rendered.
  • Daily review of all postings before claim submission.
  • Daily closing of batches and balancing of money posted.
  • Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
  • Responsible for submitting all electronic claims.
  • Responsible for answering Billing Phone calls and providing exceptional customer service to patients with billing related questions.
  • Resolving claim denials and issues with claim payment in a timely manner.
  • Working to collect patient balances in a timely manner.
  • Effectively communicate with providers on claim documentation for charges submitted.

Knowledge/Skills/Abilities:

 

  • Ability to work under pressure.
  • Ability to handle multi-functions/multi-tasks.
  • Ability to problem solve.
  • Pay attention to detail.
  • Understanding of community-based organizations.
  • Ability to communicate with the medical/dental staff and Office Managers.
  • Some knowledge of bookkeeping and office functions.
  • Some knowledge of CPT and ICD10 codes.
  • Ability to work proficiently and efficiently on a timely manner.
  • Knowledge of all payer codes.
  • Knowledge of all programs offered by NHSI.
Qualifications

MINIMUM REQUIREMENTS

  • High School Diploma or Equivalent
  • CPC Certification required
  • At least 3 years of billing and coding experience (outpatient/medical practice coding experience preferred)
  • (2) Training or background in ICD-10 / CPT codes.
  • Knowledge of medical terminology and billing practices.

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