What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Southwest Eyecare, Eyewear and Lasik?
A busy Ophthalmology clinic is seeking to hire an experienced Medical and Billing Coding Specialist located in Albuquerque, NM. The proper candidate would be responsible for all phases of coding, billing, insurance payment posting/payment downloads, and account follow-up by using accepted billing practices and ensure thorough and consistent account resolution with insurance payers.
Duties will include but are not limited to:
- Coding review, charge entry and billing of all patient visits
- Review all payments and denials as received from the insurance company, file appeals as needed
- Review and interpret clinical documentation to identify pertinent diagnosis/procedures and apply correct ICD-10 CPT codes keeping within coding guidelines
- Post payment from EOB's and download electronic payments
- Discuss financial arrangements with patients
- Send out monthly statements
- Provide excellent customer service when assisting patients in understanding their balance
- Assist with authorizations and insurance verification when needed
Requirements:
- High school diploma
- Excellent customer service skills
- Strong written and verbal communication skills
- Ability to manage relationships with various insurance payers
- Must be detail oriented and ability to multi-task and stay organized
- Responsible use of confidential information following HIPAA guidelines
- Working knowledge of CPT/ICD-10 coding and medical terminology
- At least 3 years of insurance billing in a medical office (to include working claim denials and outstanding AR, multiple carrier experience with EOB's and claim denials)
- Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
- Must have thorough understanding of Medicare/Medicaid laws, managed care and commercial health insurances
- Self-motivated; able to work productively, effectively and independently in a fast paced environment
- Must have predictable and consistent attendance
Desired Skills:
- Previous Ophthalmology coding/billing experience
- Knowledge of EMR PM systems
Experience:
- 3 years in medical billing/coding
Starting pay $14.50 depending on experience
Job Type: Full-time
Pay: From $15.50 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $15 - $16