Medical Coder/Biller/Credentialer at Sanctum Integrated Health Services LLC

1 month ago

Elkton, United States Sanctum Integrated Health Services LLC Full time
Job DescriptionJob Description

Sanctum Integrated Health Services, Llc in Elkton, MD is looking for one medical biller/coder/credentialer to join our 4 person strong team. Our ideal candidate is self-driven, ambitious, and reliable. Sanctum Integrated Health Services, is a new private multi-specialty practice that has a part-time position with career growth opportunity and revenue bonuses. This position is not remote but has some flexibility in work days and hours.

Responsibilities

  • Review patient information and translate services into correct codes
  • Input medical data entry into patient account systems
  • Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology)
  • Able to check, verify and recommend correction of coding according to coding regulations
  • Assist with billing/coding policies
  • Communicate with insurance providers and medical staff
  • Verify coverage and eligibility for medical services
  • Communicate with insurance providers and patients
  • Review patient bills and correct any missing or inaccurate information
  • Use a billing software to prepare and transmit claims
  • Collect unpaid claims and clear up discrepancies
  • Investigate and appeal claims that were denied
  • Complete data entry to update spreadsheets and reports
  • Work with patients to set up payment plans
  • Adapt to updates and changes in billing software
  • obtaining pre-authorizations for certain procedures
  • Ensures that information in CAQH is uptodate and Attestments are completed in an accurate and timely manner
  • Escalates issues to management as appropriate
  • Prepares and sends credentials to insurance company for enrollment and re-enrollment.
  • Process follow-up requests with insurance companies
  • Maintain and track insurance payer contract's expirations date
  • Knowledge and be proficient with Office Ally supper bills and clearing house utilization.
  • Maintaining Continuing education to stay current with regulation changes

Qualifications

·       Must have 2-3 years experience in medical billing/coding

·       Effective organizational skills with the ability to manage multiple responsibilities

·       Medical billing certification from an accredited school, Certified Billing & Coding Specialist (CBCS) exam, the Certified Professional Coder (CPC) exam, and the Certified Coding Associate (CCA) exam.

·       Proficiency with computers and medical billing software

·       Proficient with EMR/Practice management platforms.

·       Knowledge of unfair debt collection practices and insurance guidelines

·       Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS 

·       Communication skills with patients/healthcare companies

·       Basic accounting and bookkeeping practices

·       Associate or Bachelors Degree is high preferred, but not required.

 

We are looking forward to reading your application.


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