Medical Biller/Coder

Busy GI Practice seeks Full Time Medical Biller / Coder

This position that involves coding, billing, filing and tracking of insurance claims and informing patients of their account status.

Job Responsibilities and Duties

• Managing patient billing which includes co-pays, co-insurances, and deductibles
• Processing health insurance claims for services provided at the clinic
• Verifying insurance eligibility
• Submitting claims for reimbursement and coach healthcare providers to achieve optimal reimbursements.
• Review claims to make sure coding is accurate
• Audit agency reports for procedures with office billing to ensure accuracy of billing to payers
• Contact insurance companies to ensure that pre-certification is obtained on procedures that require authorization
• Follows up with insurance companies ensuring that claims are paid correctly.
• Follows up with patient on balances, sets up payment plans if needed.
• Maintains strict confidentiality related to medical records and other data.
• Track payments to make sure reimbursements are received on time
• Continually audits current claims to monitor and improve efficiency of billing and collection operation
• Perform other duties and responsibilities as assigned
• Regularly meet with Billing Team Leader and Manager to discuss and resolve reimbursement issues or billing obstacles.

Requirements

• Medical Coding Certification or Diploma preferred.

• Ability to read, write, speak and understand English proficiently.
• Proficiency in computer skills, Microsoft Office
• Minimum 3 years of medical billing, coding and collection experience
• GI billing experience is a Plus
• Knowledge of medical diagnostic coding system, medical terminology and insurance practices.
• Experience in coding from physician documentation, auditing charts, ICD-10, Modifiers, AR, and working with insurance carriers to resolve denials.
• Knowledge of anatomy/physiology, disease process, medical terminology, coding guidelines (physician billing) and documentation requirements.
• In-depth knowledge of procedural coding, specifically in identifying appropriate ICD-9 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 form, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB and payments, denials and appeals.
• Must be process and detail oriented and have excellent written and verbal communication skills.
• Must have excellent communication and computer skills, be highly motivated, responsible, able to handle multiple task and work in a team environment.
• Experience with EMR systems such as: Intergy, gGastro, Greenway or Epic experience is a plus.

Employment is based on the above requirements as well a background check and drug screen.

Job Type: Full-time

Pay: $32,500.00 - $44,500.00 per year

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $32,500 - $44,500