Home Health Medical Office personnel

1 week ago

Fayetteville, United States Sanzie HealthCare Services Inc Full time
Job DescriptionJob Description

Medical Office Certified Biller/Coder-Fayetteville Ga

Sanzie Healthcare Services Inc is looking for a Certified Medical Biller/Coder. The Biller/Coder position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts.

Responsibilities include:

  • Preparing and submitting claims to various insurance companies electronically
  • Resolving unpaid claims identified on aged A/R and various other reports, and also for reviewing and responding to all billing-related correspondence
  • Denial trends are researched and root causes are identified and reported to the Administrator for resolution
  • Company Payroll
  • Answering questions from clients, clerical staff and insurance companies
  • Identifying and resolving insurance/patient billing complaints
  • Preparing, reviewing and sending patient statements
  • Ensuring all documents are submitted for proper billing: insurance verification forms, office notes and encounters/superbills
  • Reporting delinquent accounts to the Administrator & CEO
  • Performing various collection actions including contacting Clients by phone, correcting and resubmitting claims to third party payers
  • Participating in educational seminars and staff meetings
  • Maintaining strictest confidentiality and adhering to all HIPAA guidelines and regulations
  • Such other tasks as the company may require and/or as needs evolve
  • Generating, reviewing and transmitting claims
  • Payment Posting- Mail & ERA's
  • Provide customer service regarding billing & collection issues, process and review account adjustments, resolve client discrepancies and short payments.
  • Follow up on submitted claims to ensure payer acceptance.
  • Review rejected and/or denied claims, make corrections and resubmit clean claim within the required time frame
  • Review EOB's/ ERA's for any missed opportunities
  • Follow up on aged accounts receivables through final resolution
  • Balance bill secondary, tertiary insurance as well as patients
  • Follow up on payment errors, over-payments, low reimbursements, rejections and denials
  • Insurance verification
  • Other duties as assigned based on billing, payment posting, demographic entry, to ensure company goals are met and a team environment is maintained
  • Maintain the confidentiality of the medical information contained in each record.

Key Requirements:

  • Ability to research unpaid claims, determine and correct cause, follow up as needed.
  • Ability to appeal/rebill underpaid or denied claims within payer deadlines.
  • Knowledge of CPT, HCPCS and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans).
  • Should be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (Availity and MMIS experience a big plus).
  • Must have a minimum of 3 years of comprehensive medical billing/collections experience with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process.
  • Commitment to excellent customer service a must
  • Excellent written and verbal communication skills
  • Ability to prioritize and manage multiple responsibilities
  • HIPAA Compliant

Working Hours/Salary:

Part-time; Compensation to be determined upon review of credentials and experience.

Hours 11:00 am- 5:00 pm Monday - Friday.

Required experience/ education:

  • 3+ years' experience in medical billing, posting charges, insurance verification, payment posting, filing professional claims, ICD-9 & ICD-10
  • Certification not required, but is a plus
  • Associate Degree or equivalent
  • Proficient in billing software Availity, MMIS and Quickbook
  • Strong analytical skills
  • Experience in medical terminology, accounts receivable, insurance collections and billing
  • Experience with HIPAA standards and compliance programs
  • Knowledge of medical billing/collections practices
  • Knowledge of computer programs
  • Ability to operate a computer, basic office equipment and a multi-line telephone system
  • Knowledge of basic third party operating procedures and practice
  • Knowledge of Medicare/Commercial Payors and Workers Comp
  • Skill in answering a telephone in a pleasant and helpful manner
  • Strong organization, oral/written communication and public relations skills
  • Ability to maintain effective working relationships with patients, employees and the public

Job Type: Part time

Required education:

  • Associate degree or equivalent
  • Certified Biller/Coder

Required experience:

  • Medical Office: 3 years
  • Medical Billing: 3 years
  • EXPERIENCE IN Home Healthcare A PLUS



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