What are the responsibilities and job description for the Billing and Claims Coordinator position at GForce Life Sciences?
Consultant, Billing and Coding Coordinator, Medical Devices
Summary
Our client, an innovative global leader within medical devices, has engaged GForce Life Sciences to provide a Billing and Coding Coordinator. The Coder’s primary objective is to review medical documentation and select the appropriate ICD-10 diagnosis code(s) for medical billing. The Billers’ primary objective is to review accounts for the appropriate documentation, create and submit medical claims. The biller should also ensure the claims are accurate and billed in a timely manner.
Job Duties
- Review medical documentation to assign ICD-10 codes accurately for Pre-Authorization and Billing.
- Processes all claims that require submissions via Invoice or HCFA-1500 forms in a timely and accurate manner.
- Monitors all coding and billing grids ensuring timely filing requirements are met.
- Monitors the electronic billing rejections, correct any errors, and resubmit the claims.
- Handles all resubmissions and Secondary billing in a timely and accurate manner.
- Follow up on accounts in PBR to be sure that all necessary information is on file prior to submitting the claim.
- Completes daily department reports in a timely manner.
- Demonstrates excellent customer service skills, strong written and verbal communication as well as possessing a professional telephone manner.
- Other job functions as determined necessary and as assigned by management.
Requirements
- 1-3 years of ICD-10 Coding.
- 1-3 years of medical billing.
- Ability to code claims using ICD 10 Diagnosis codes and bill claims
- Knowledge or understanding of Commercial insurance, Medicare, Medicaid, and other governmental and private insurance.
- Medical terminology and health insurance background required.
- Understanding of health insurance concepts and benefit design required.
- Excellent customer service skills, analytical problem-solving skills, strong written and verbal communication skills, professional telephone manner and well organized.
- Ability to learn and use proprietary programs such as FileNet, A/S 400, IFM.
- CPC certification preferred.
Term & Start
- 3-6 month contract with the possibility of becoming full time
- 2 days a week onsite in Parsippany, NJ
- Benefits available (Medical, Dental, Vision, 401k)
