JOB TITLE: Medical Billing and Coding Specialist
JOB SUMMARY:
Transitional Counseling Services is seeking a Medical Billing and Coding Specialist. The ideal candidate will have the ability to work independently, have a positive attitude and will be career minded. The Specialist will be responsible for invoicing and communicating with insurance companies, making payment arrangements; collecting accounts, monitoring and pursuing delinquent accounts, verify/pre-certify patients and support management.
ABILITIES
· Collect payments from patients and insurance, sending patient statements and follow up on posting private and insurance payments, pursue further collections of AR
· Timely follow up on denials and rejections from insurance companies and filing appeals
· Communicate with clinicians and other health care professionals with regards to coding documentation requirements, denials and filing appeals
· Ensure billing is up to date and in accordance with government and insurance regulations
· Obtaining preauthorization of services and procedures as required
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Associate degree in Medical Coding & Billing or successful completion of a certification program preferred
· Minimum of 1 years of related experience
· Strong Knowledge Medical Terminology (ICD-10/CPT)
· Advanced EMR knowledge
· Advanced Knowledge of Microsoft Office and Microsoft Excel
· Compute proficiency and the ability to learn programs as required
· Registering the patient and verifying their insurance coverage.
· Collecting the information required to create a claim.
· Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
· Reviewing and appealing unpaid and denied claims.
· Timely follow-up on insurance claim denials, exceptions or exclusions.
· Reading and interpreting insurance Explanation of Benefits.
· Managing the facility’s Accounts Receivable reports.
· Answering patients’ billing questions.
REQUIRED SKILLS:
· Professionalism and integrity in all aspects of the job, including image and both verbal and written communication skills
· Ability to manage relationships with various Insurance payers.
· Self-Disciplined.
· Attention to Detail.
· Responsible use of confidential information.
· Perform to company standards of compliance with policies and procedures.
· Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.
· Phone Etiquette
· Professional
· Email Etiquette
· Punctuality
· Reliable Transportation
· Excellent Positive Attitude and Customer Service Skills
· Strong Reporting Skills
· Strong Organization, Planning and Analytical Skills
· Perform additional duties as requested by Supervisor.
Schedule: Monday to Friday
Experience: Medical Coding: 1 years (Preferred)
License: Medical Coding Certification (Preferred)
Work Location: Livonia, MI
Job Type: Contractual
Pay: Starting at $15.00 to $18.00 per hour with annual raise, depending on qualifications and experience.
REQUIRED EDUCATION
High School diploma or equivalent. Prefer Associates degree in Medical Billing and Coding or Accounting; however, two years of experience in lieu of education may also be considered. RHIT (Registered Health Information Tech) preferred.
Job Type: Independent Contract
Job Type: Contract
Pay: $15.00 - $19.00 per hour
Schedule:
Monday to Friday
Work Location: In person
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