Certified Biller/Coder Revenue Cycle Specialist
2 days ago
Ultimate Staffing is partnered with a physician-owned dermatology group located in South Florida. Currently we are looking for a full time Certified Biller/Coder Revenue Cycle Specialist with dermatology experience in Wellington, FL.
Certified Biller/Coder Revenue Cycle Specialist Summary: The Certified Coder/Biller is tasked with managing all aspects of revenue cycle operations, includes coding, billing, collections, denial management, and financial reporting. Key responsibilities involve overseeing efficient processing of claims, denials, and appeals, as well as resolving billing-related issues. The Certified Coder/Biller will be updated on coding/billing and revenue trends, providing coding education to clinical and billing staff.
Certified Biller/Coder Revenue Cycle Specialist Location: Wellington, FL
Certified Biller/Coder Revenue Cycle Specialist Responsibilities:
- Oversee the complete revenue cycle, including billing, coding, collections, and denial management.
- Look for trends and respond to practices and staff in real time.
- Communicate efficiently with billers, providers, front office staff, and practice managers.
- Be able to communicate with a high level of professionalism to provide updates, challenges, and successes of the most recent updates in billing.
- Supervise, develop, and mentor all revenue department staff, including billers and coders.
- Provide updated education on coding trends to clinical, billing, and coding staff.
- Develop, evaluate, implement, and revise policies and procedures related to billing, coding, reimbursement activities, and improvement strategies.
- Run and manage billing compliance program.
- Reconcile all receivables and revenue reports, working closely with the finance department to develop monthly financial statements.
- Manage and update the charge master based on the current CMS fee schedule and negotiated contracts.
- Conduct monthly analyses of Medicare, Medicaid, and third-party payers.
- Review and resolve high level issues related to claim generation and rejected/denied billings and look for trends.
- Stay informed about reimbursement billing procedures of third-party and private insurance payers and government regulations.
- Maintain appropriate internal controls over accounts receivable and the RCM process.
- Oversee the accounts sent for collection and reimbursements from insurance companies and other third-party payers.
- Review, monitor, and evaluate third-party reimbursement, credentialing, researching variances.
- Participate in the development of coding and billing strategies, evaluating processes relative to the revenue cycle, and making recommendations while ensuring compliance with relevant rules and regulations, including HIPAA, Medicaid, Medicare, and specific third-party payers.
- Perform other duties as assigned.
Certified Biller/Coder Revenue Cycle Specialist Qualifications & Details:
- License/Certification:
- CPB - Professional Biller
- CPC - Professional Coder
- CPMA - Medical Auditor
- Education: High School or equivalent
- Experience: Five years medical billing experience, equivalent education or combination of education and experience. Medical office experience preferred.
- Pay is $70-$80k plus Medical, Dental, Vision, and 401k. Hours are from 8am-5pm M-F
Please email for immediate assistance.
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. To the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.
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Wellington, United States Ultimate Staffing Full timeUltimate Staffing is partnered with a physician-owned dermatology group located in South Florida. Currently we are looking for a full time Certified Biller/Coder Revenue Cycle Specialist with dermatology experience in Wellington, FL. Certified Biller/Coder Revenue Cycle Specialist Summary: The Certified Coder/Biller is tasked with managing all aspects of...
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