Remote Specialist in Medical Coding and Billing

Remote, USA Full-time Posted 2025-02-22

Job Overview

We are pleased to announce a remote opportunity for a diligent Medical Coding and Billing Specialist to become an integral part of our esteemed medical billing department. This role is perfect for individuals who exhibit meticulous attention to detail and possess a passionate commitment to managing intricate medical data with the utmost accuracy and care...

Key Responsibilities
? Conduct thorough reviews of patient bills to ensure accuracy and completeness while obtaining any necessary information for correct billing.
? Prepare, scrutinize, and electronically transmit claims using advanced billing software, encompassing both electronic and paper claim processes.
? Proactively follow up on outstanding claims within standard billing cycles, verifying insurance payments to ensure compliance with established contract discounts.
? Liaise with insurance providers to resolve payment discrepancies as necessary.
? Identify and bill secondary or tertiary insurers as applicable.
? Review accounts to facilitate patient follow-up related to insurance inquiries.
? Investigate and appeal denied claims effectively.
? Address inquiries from patients and insurance companies regarding assigned accounts.
? Establish patient payment plans and manage accounts related to collections.
? Update billing software to reflect necessary rate changes.
? Ensure adherence to insurance compliance and uphold HIPAA guidelines to protect patient confidentiality.
? Utilize medical classification software to accurately assign procedure and diagnosis codes for billing purposes.
? Collaborate with healthcare professionals to resolve discrepancies in medical documentation and coding.
? Generate and present detailed reports on billing activities and financial statuses for senior management review.

Required Skills
? Expertise in medical billing and coding methodologies.
? Familiarity with eClinicalWorks software is a significant benefit.
? Comprehensive knowledge of healthcare regulations and HIPAA compliance.
? Strong capability to research and appeal denied claims effectively.
? Exceptional attention to detail combined with strong organizational skills.
? Proficient communication skills for effective interaction with patients and insurance representatives.

Qualifications
? Availability for full-time commitment.
? A minimum of two years of experience in medical billing and coding is required.
? AACP certification is mandatory.
? ICD-10 coding certification is mandatory.
? CPT coding certification is mandatory.

Career Growth Opportunities

Joining our organization presents an excellent opportunity for skill enhancement in medical billing and coding, facilitating your professional growth and career advancement.

Company Culture And Values

We are proud to cultivate a supportive and collaborative work environment, where team members unite towards a common goal in the healthcare sector. We encourage diversity and inclusivity, aligning with our mission to deliver exceptional healthcare services.

Compensation And Benefits
? Paid Time Off (PTO)
? Paid Holidays
? A collaborative work environment that fosters professional development.

If you are eager to join our mission and make a significant impact in the healthcare domain, we invite you to apply today!

Employment Type: Full-Time

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