Medical Billing and Coding Specialist

We are currently looking for biller/coder to join our practice in the valley. We specialize in radiation oncology and are looking for an experienced full cycle revenue management team member.

POSITION RESPONSIBILITIES:

• Entering codes to diagnoses and procedures, using up to date CPT and diagnoses codes for office visits and procedures
• Review all billing data received from Providers daily, including accuracy and verification of coding
• Review patient charts and clinic schedule to ensure all charges across all places of services are entered
• Complete Coding Reconciliation within 24 hours of the service being completed
• Communicate with the provider on any documentation that may be insufficient or unclear within 24 hours of receipt of charge for coding
• Ensure codes are accurate and correct in accordance with all governmental and insurance regulations
• Correctly apply all required modifiers for all charges
• Audit clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes
• Analyze medical records and identify documentation deficiencies
• Work with Back Office team to ensure proper documentation
• Answer daily correspondence from assigned insurance carriers
• Monitor and work accounts receivable for primary and secondary insurance, and patient responsibility. Communicate with insurance carriers on all accounts past 30 days for follow-up on denials, incorrect payments or past due accounts
• Print schedules for all providers the day before and notes copay and/or balance due on schedule
• Collects and distributes daily mail
• Oversees all collection processes. Follows guidelines for sending patients to collections and continuing close communication with collection agencies
• Posts all insurance and/or patient payments daily
• Retrieves and reviews all EOBs both via mail or online, flags zero pay or underpaid items and follows up by submitting appropriate documents for denials or to appeal
• Prepares deposit records
• Audit medical record documentation including chart and procedure reports to extract details and verify against superbills
• Analyze CPT and ICD-10 codes into billing system for accuracy to ensure payment
• Submit all electronic claims to insurance carriers via clearing house and manage rejection reports then resubmitting
• Submit paper claims with appropriate medical record documentation
• Bill secondary insurance on all applicable accounts after payments from primary are received
• Covers front desk during absences or heavy work flow
• Answers phones

ESSENTIAL SKILLS AND EXPERIENCE:

• High School Diploma or equivalent
• Medical billing/coding certificate or 4 years’ experience in the medical billing field
• Previous experience in an oncology practice is a plus
• CPR Certified
• Excellent attendance and punctuality
• Knowledge of medical terminology
• Possess strong interpersonal skills; phone etiquette; and a professional and courteous manner
• Must demonstrate excellent judgment, communication and analytical skills; including under pressure
• Ability to multi-task and perform multiple priorities
• Must possess decision making ability and problem-solving skills
• Requires the ability to work within a team environment as well as independently
• Computer Knowledge required. Working knowledge of Microsoft Office, Excel and EMR’s a plus
• Bilingual a plus

Job Type: Part-time

Pay: From $22.00 per hour

Schedule:

• Day shift
• Monday to Friday

Work Location: Hybrid remote in Chandler, AZ 85224

Salary : $22