Medical Billing and Coding Associate

A medical services company in New York City is currently seeking a new Medical Billing and Coding Associate for a promising opportunity with their growing team.

Responsibilities :

The Medical Billing and Coding Associate will :

Partner with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues

Contact payers to verify claim status via phone or web and follow up on unpaid claims

Process appeals on aged insurance claims / denials

Identify and resolve claim edits through understanding of billing guidelines and payer requirements

Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate

Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable

Review all EOBs for correct payment, deductible, adjustments, and denials

Reconcile account balances, and verify payments are applied correctly

Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner

Follow up on appeals / corrected submitted claims

Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding

Review and audit customer service account inquiries

Receive inbound / outbound customer service call

Review and correct all rejections in clearing house

Perform all other related duties as assigned Qualifications :

Must have 2-3 years of Medical Billing experience

Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation

Proficient in CPT and ICD-10 coding

Excellent organizational skills and the ability to multitask in a fast-paced environment Desired Skills :

Ambulance billing experience

Ambulance / medical billing certification or diploma

Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC)