Medical Records
2 months ago
Join our team of supportive, fun and goal-oriented people. We get things done but enjoy participating in the extras Element offers like, personalized office decoration contest for holidays, monthly birthday lunches, employee of the month and year with bonuses, special event Holiday party, casual work environment (jean friendly), favorite T-shirt Friday’s, decorate your office with your own vibe, along with a stocked coffee & snack bar (with healthy snacks too). We care about the work life balance and encourage wellness.
We are a third-party billing company that is searching for exceptional individuals to join our Medical Records Team.
As a Medical Records and Appeals Coordinator, you will be responsible for responding to requests for medical information and managing the appeals process for denied claims. Your attention to detail, organizational skills, and billing and collections knowledge will be essential in carrying out these duties effectively.
Responsibilities:
- Responding to Medical Records Requests:
- Process requests for medical records for commercial insurance companies
- Prepare and release medical records in accordance with applicable laws and policies.
- Handling Denied Claims:
- Investigate the reasons behind denied insurance claims.
- Analyze medical billing codes (ICD-10, CPT) and billing forms (CMS 1500, HCFA 1500, UB04) to identify discrepancies or errors.
- Collaborate with medical facilities, insurance companies, and other departments to resolve claim issues.
- Appeals Process:
- Determine the appropriate course of action to appeal denied claims based on thorough research and analysis.
- Prepare and submit appeal documentation, including medical records, billing information, and supporting documentation.
- Follow up on appeals status and escalate unresolved issues, as necessary.
- Billing Knowledge:
- Demonstrate proficiency in medical billing processes, including coding, billing forms, and insurance protocols.
- Utilize billing software and systems to input and track billing information accurately.
- Stay updated on changes in billing regulations and industry standards.
Qualifications:
- Previous experience in medical records management, billing, or healthcare administration required.
- Strong knowledge of ICD-10 and CPT coding systems.
- Familiarity with commercial insurance processes and regulations.
- Excellent analytical and critical thinking skills.
- High level of attention to detail and accuracy.
- Proficient in Microsoft Office, medical billing software, and EMR systems.
- Ability to prioritize tasks and work efficiently under pressure.
Benefits:
- Competitive salary commensurate with experience.
- Health insurance coverage.
- Retirement savings plan.
- Paid time off and holidays.
- Opportunities for professional development and advancement.
How to Apply:
If you meet the qualifications and are interested in joining our team, please submit your resume and cover letter detailing your relevant experience and skills. We look forward to reviewing your application
This job description emphasizes the key responsibilities, qualifications, and skills required for the role of a Medical Records and Appeals Coordinator in a medical billing setting. It's important to attract candidates who possess the necessary expertise in medical records management, billing, and appeals processing, while also highlighting the critical thinking and organizational abilities essential for success in this position.
Benefits Offered (Insurance effective 1st of the month after hire):
- 401k with ER match
- Dental insurance
- Health insurance
- Vision insurance
- 10k of Voluntary Life paid by ER
- Paid time off (Vacation & Sick & 6 Holidays)
Schedule:
- Monday to Friday 9:00am to 5pm
Education:
- High school or equivalent (Preferred)
Experience:
- Disputing medical claim denials (Preferred)
- Medical Records: 1 year (Required)
- Medical Billing: 1 year (Preferred)
We believe everyone should be treated equally regardless of race, sex, gender identification, sexual orientation, national origin, native language, religion, age, disability, marital status, citizenship, genetic information, pregnancy, or any other characteristic protected by law.
Job Type: Full-time
Pay: $16.00 - $18.00 per hour
Company DescriptionElement Medical Billing specializes in providing billing solutions for Mental Health/Substance Abuse facilities. There are many career opportunities in our Insurance Verification, Utilization Review, Billing, Collections, Medical Review and Accounts Receivable departments. Come grow with usCompany DescriptionElement Medical Billing specializes in providing billing solutions for Mental Health/Substance Abuse facilities. There are many career opportunities in our Insurance Verification, Utilization Review, Billing, Collections, Medical Review and Accounts Receivable departments. Come grow with us-
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