Medical Billing and Coder

Job Description: Medical Billing and Coder

Overview:

Are you a highly-skilled, passionate, and motivated individual ready to take on a pivotal role in the dynamic world of speech pathology and oromyofunctional therapy? Look no further! BreatheWorks, a rapidly growing group of private practices, is looking for a Medical Billing and Coder to join our team.

What You’ll Do:

As a medical billing and coder at BreatheWorks, you will be crucial in managing the business's healthcare financials. This role is the face and the voice of the BreatheWorks billing department, playing a vital role in maintaining our commitment to delivering high-quality patient experiences.

Why BreatheWorks:

• Join a fast-growing group of private practices in the exciting fields of speech pathology and oromyofunctional therapy.
• Play a crucial role in shaping the success and growth of our practices.
• Work in a dynamic and collaborative environment.

Our Mission:

To deliver remarkable, patient-centered care in a compassionate and empowering manner.

Our Vision:

To help everyone breathe, sleep, eat, talk, and feel better.

Our Core Values:

• Innovation: We continuously seek and implement cutting-edge techniques, therapies, and technologies to provide the most effective treatments for oromyofunctional disorders.
• Compassion: Compassion is at the heart of everything we do. We treat our patients with kindness, patience, and respect, fostering an environment of trust and support.
• Empowerment: We empower our patients to take control of their oromyofunctional health, providing them with the knowledge and tools to thrive in their daily lives.
• Integrity: We operate by the highest ethical standards in our practice, always acting honestly and transparently with our patients, their families, and our colleagues.
• Passion: We are passionate about getting results and will use a multidisciplinary approach customized to each patient.
• Excellence: We are committed to excellence in all aspects of our practice, from clinical expertise to customer service, ensuring the best possible patient outcomes.

Responsibilities:

• Review and analyze medical records and patient information to ensure accurate claim processing This position’s primary focus is creating and submitting accurate medical claims to patients and insurance companies for timely reimbursement.
• Assign appropriate medical codes using ICD-10 coding systems
• Verify insurance coverage and obtain necessary authorizations for medical procedures, Ensure that insurance policy coverage aligns with the submitted claim, and confirm the accuracy of patient information.
• Prepare and submit claims to insurance companies for reimbursement
• Reviewing Claims: They assess insurance claim submissions, carefully examining the information provided to verify accuracy and policy adherence.
• Verification: Adherence to Regulations: Processing and verifying insurance claims following company policies, laws, and regulations.
• Payment Processing: Handling the processing of claim payments and corresponding with insurance payers.
• Follow up on unpaid claims and resolve any billing discrepancies or denials
• Communicate with patients, healthcare providers, and insurance companies regarding billing inquiries, disputes, and balances owed.
• Maintain patient confidentiality and adhere to HIPAA regulations
• Update and maintain patient records in electronic medical billing systems
• Optimizing Processes: Implementing best practices in invoice management optimizes business processes and streamlines financial workflows, contributing to overall efficiency and patient satisfaction.
• Cross train with receptionist to be able to fill in as needed
• Cross train with office manager to be able to fill in as needed

Skills: The ideal candidate will possess the following skills:

• Comfortable talking to patients about money and the cost of our services
• Proactive & real-time solution-focused approach and ability to build value for BreatheWorks treatment and costs
• Strong phone skills and ability to connect with patients on both inbound and outbound calls.
• Strong organizational and time management skills.
• Excellent communication and interpersonal abilities.
• Proficiency in office software (e.g., Microsoft Office Suite).
• Ability to multitask and work effectively in a fast-paced environment.
• Previous proven success in a medical billing and coding role.
• Strong communication, listening, problem-solving, and interpersonal skills to build trust and ensure patient success.
• Strong analytical thinking skills to assess invoices for validity and adherence to policies, laws, and regulations.
• Proficiency with technology including, but not limited to, Google G Suite products, telehealth video technologies, and patient healthcare databases.
• Ability to enter data promptly and accurately in EHR.
• A desire to grow in a fast-paced clinical environment
• Adherence to ethical standards and principles, ensuring the highest level of patient care.

Pay

• $28 to $40 per hour, depending on qualifications.

Job Type

• Full Time

Locations & Modes: The Medical Billing and Coder will be assigned to an office location.

• Lake Oswego (Flagship) - 15630 Boones Ferry Rd Suite 6, Lake Oswego, OR 97035

Shift and Schedule

• Monday to Friday

Benefits: BreatheWorks values its employees' well-being by offering a comprehensive benefits package. Let's break it down:

• Medical Coverage: Full time employees have the option to choose from three tiers of medical coverage, which allows for flexibility based on individual needs.

• Dental and Vision Coverage: In addition to medical coverage, employees are also eligible for dental and vision coverage, ensuring comprehensive healthcare support.

• Retirement Plan: BreatheWorks offers a retirement plan, indicating a commitment to long-term financial security and stability for its employees.

• Leave: The leave policy allows employees to accrue one hour of leave for every 30 hours worked. This ensures that employees can take time off when they're unwell without worrying about losing income.

Join Us!

• Ready to join the dynamic BreatheWorks Team? Submit your resume, cover letter, and LinkedIn profile link to Corinne Jarvis (Founder/CEO) today.

Learn More:
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Job Type: Full-time

Pay: $22.00 - $35.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $22 - $35