Overview
A medical billing team is seeking a new member with a strong background in medical billing, customer service, and communication with third-party adjusters. This role involves working in a fast-paced, team-oriented environment focused on accuracy, compliance, and excellent client service.
Responsibilities
- Audit records to ensure proper submission of services before submitting claims to payers
- Assign correct ICD-10-CM diagnosis codes on all claims
- Assign correct CPT codes for all Durable Medical Equipment (DME) procedures and services performed
- Submit claims to payers using HCFA forms
- Verify that diagnoses and procedures stated by physicians or other healthcare providers are valid and complete
- Maintain compliance with policies and report any issues appropriately
- Follow coding guidelines and legal requirements to ensure federal and state regulatory compliance
- Follow up on Explanation of Benefits (EOBs) to determine reasons for claim denials
- Provide high-level customer service to both internal and external clients
- Demonstrate performance aligned with organizational principles including caring, collaboration, transparency, and innovation
Qualifications
- Strong customer service skills
- Excellent verbal and written communication and presentation skills
- Ability to work independently and problem solve
- Ability to multi-task, prioritize, and manage time effectively
- Proficiency in Microsoft Word and Excel
- Experience with ICD-10 coding and CPT codes
- Experience completing HCFA forms
Compensation & Benefits
- Salary range: $46,000 to $50,000 per year
- 401(k) plan
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Parental leave
- Flexible work-from-home options available
Employment Type
Full-time
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.