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medical billing professional
7 days ago
JOB SUMMARY:
The position of Billing/Coding Coordinator revolves around managing daily accounts receivable activities, such as insurance claims submission, Medicare/Medicaid billing, and payment collection.
The role involves direct reporting to the Director of Business Operations and entails communication of any issues affecting cash flow. Alongside daily billing tasks, the Coordinator evaluates billing cycles to identify and address potential problems proactively.
Candidates must exhibit responsibility, reliability, and the ability to operate autonomously.
THIS POSITION IS ONSITE WITHIN A MEDICAL PRACTICE*** MONDAY-FRIDAY 9AM-5PM
RESPONSIBILITIES:
- Prepares, processes, and submits accurate insurance claims in compliance with department policy and payer regulations for all payer types.
- Analyzes and resolves billing edits to ensure accurate claims filing within set guidelines.
- Upholds compliance with CMS, state, and federal regulations, payer contracts, and department policies.
- Manages refunds, adjustments, corrections, and oversees billing compliance.
- Generates financial reports and ensures proper billing procedures are followed.
- Handles claim-related correspondence, updates accounts, and assists in cost control.
- Posts payments, conducts cash reconciliations, and maintains up-to-date records.
- Resolves denials, appeals, and collaborates with providers on payer issues.
- Investigates and addresses patient/insurance inquiries, performs billing using medical terminology knowledge.
- Participates in staff meetings, educational sessions, and contributes to cost management.
QUALIFICATIONS:
- Prior experience in medical billing/coding.
- AAPC Medical Coding Certification is a plus.
- Knowledge of eClinical Works and CPT/ICD-10-CM codes.
- Strong communication and organizational skills.
- Demonstrated ability to coordinate tasks independently.
- Upholds confidentiality and trustworthiness.
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