Medical Billing & Coding Specialist (Remote)

*Remote roles based outside of our primary office in Wyoming can sit in any of the following states: AZ, CO, GA, ID, IL, LA, MI, MO, MT, NV, OK, OR, SC, TN, TX, UT and WA. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

Job Summary:
Responsible for correctly obtaining all ICD-10, CPT and modifier codes prior to submitting to insurances. Review and resolve accounts with credit  balances; request refunds and/or adjustments as necessary. Prepares daily, weekly, and yearly reports. Professionally communicates with providers, payers, and all SJH staff. Adheres to and practices the SJH Corporate Compliance Program, and actively participates in Performance Improvement activities. 

Essential Functions:
1. Patient Initiated Contacts
· Responds by reviewing, researching, and following up using all available resources to provide answers via correspondence.
· Takes appropriate action to resolve inquiries when necessary (example: account adjustments, re-billing insurance, changing statement sequence).
· Uses patient and insurance companies for initiated contacts as an opportunity to make arrangements to settle accounts.
· Maintains, develops and updates skills and knowledge to implement ideal service.

2. Contact Initiation with Patients
· Contacts patients and insurance companies in an attempt to resolve accounts, using financial counseling skills to prompt patient to make payment with emphasis on highest cash resolution.
· Maintains the interest of the Physician Services while balancing with patient situation or concerns when resolving accounts.
· Performs skip tracing activities on returned mail and other correspondence, referring to collection when appropriate.
· Provides financial counseling and payment option information to all patients.
· Prepares and monitors bills sent to all payers to expedite reimbursement.

3. Assigned Patient Accounts Management
· Uses computerized reports to prioritize specialized account review and resolution (credit balances, insurance aging, past-due).
· Appropriately identifies and takes action on accounts recognized as bed debts and transfers to collection agency.
· Documents all contacts and activities relating to account resolution in full detail.
· Contacts payers third-party to investigate payment delays or disputes. Explored all payer opportunities (T-19, Crime Victims, T-25).
· Coordinates account resolution activities with co-workers in the department and any outside office or agency.
· Arranges time-payment plans or identifies charitable write-offs as a part of resolution of accounts.
· Prepares refunds to appropriate parties.
· Prepares adjustment batched in activity posting, obtains proper approvals and submits for final approval and posting.

Job Requirements:
Minimum Education
Required: High School Diploma.
Preferred: Certified Outpatient Medical Biller, ICD-10 and Outpatient CPT Certified.

Minimum Work Experience
Required: 2 years Medical Billing and Coding experience. Skills including, but not limited to time management, attention to detail, documentation skills, analyzing information, general math skills, conflict resolution, effective communication, team player.
Preferred: CPT and ICD-10 Certified; 5 Years Medical Billing.

Functional Demands:
Working Conditions: Home Office; Frequent interruptions and Phone Calls

Physical Requirements: Six hours per day sitting at and using computer. Intermittent standing and walking. Occasional reaching, stooping bending, twisting, pushing, pulling, reaching.

Salary : $18 - $22