Pediatric Medical Biller
2 months ago
**Who we are**:
We are a busy Pediatric practice located in Caledonia, Michigan. We have 6 physicians in this practice as well as several care managers and a psychologist. We will be adding a 7th physician to the practice later this summer. We are looking to add a part time biller/coder to work with our full time biller/coder - 2 to 3 days per week.
**What we are looking for**:
We are looking for a medical biller with Pediatric claims experience. Responsibilities include working denials/rejections and accounts receivable follow up. Other duties could include posting payments, printing reports, and compiling medical records. In addition to the administrative functions of the job, this position includes patient interaction both on the phone and in person. The job requires a self-starter with strong organization skills, ability to multi-task, proficiency on the computer, strong phone/communication skills, and the ability to work on a team.
**Responsibilities**:
- Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.
- Work rejections for insurance companies regarding diagnostic and procedure code denials.
- Contact insurance companies for verification of claim status and clarification of denials.
- Work delinquent claims in regards to diagnostic and procedure code denials for insurance companies that are aged.
- Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance company.
- File appeals if refund requests are disputable.
- Thoroughly document all actions taken on patient account in the history.
- Document, retain and report files of all common trends of rejections for assigned insurance companies to the supervisor.
**Qualifications**:
- HS Diploma or GED equivalent required
- Medical Billing/Coding required, CPC or RCC certification
- Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes
- Minimum of one year of medical billing and coding experience
- Excellent problem solving and analytical skills
- Strong computer skills including billing/coding systems
- Great communication skills with multi-tasking abilities.
- Demonstrates reliable account management skills and understands the process of billing and collections.
- Knows how to work on aged accounts, coding and error resolution
- Strong customer service care
**Experience**:
- ICD-10: 1 year (preferred)
- CPT Coding: 1 year (preferred)
- Medical Billing: 1 year (Preferred
- Pediatric experience (preferred)
- EPIC experience (preferred)
**Job Type**: Part-time
Pay: $19.00 - $24.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Application Question(s):
- Do you have experience billing through EPIC EMR?
**Experience**:
- ICD-10: 1 year (preferred)
- CPT Coding: 1 year (preferred)
- Medical Billing: 1 year (preferred)
- Pediatrics: 1 year (preferred)
License/Certification:
- CPC or RCC certification (preferred)
Work Location: In person
We have other current jobs related to this field that you can find below
-
Certified Pediatric Life Specialist
1 month ago
Caledonia, United States Corewell Health Full timeAbout the Role We are seeking a Certified Pediatric Life Specialist to join our team at the Children's Hospital. The role involves providing therapeutic interventions for pediatric patients and families, supporting coping skills, medical insights, and socialization. This position requires collaborating with the multidisciplinary team to provide an integrated...
-
RN Triage Pediatric Residency Clinic
4 weeks ago
Caledonia, United States Corewell Health Full timeAbout the unit Helen DeVos Children's Hospital Academic General Pediatrics is located at 330 Barclay Ave NE, Suite 300. Our practice specializes in the following: Academic General Pediatrics, Adolescent Medicine, Internal Medicine and Pediatrics, Neurodevelopmental Disabilities, Nutrition Services, Patient Education, Pediatric Nephrology, Pediatric...
-
RN Triage Pediatric Residency Clinic
4 weeks ago
Caledonia, MI, United States Corewell Health Full timeAbout the unit Helen DeVos Children's Hospital Academic General Pediatrics is located at 330 Barclay Ave NE, Suite 300. Our practice specializes in the following: Academic General Pediatrics, Adolescent Medicine, Internal Medicine and Pediatrics, Neurodevelopmental Disabilities, Nutrition Services, Patient Education, Pediatric Nephrology, Pediatric...
-
School Clinical Therapist
3 months ago
Caledonia, United States Pine Rest Christian Mental Health Services Full timeCost Center ORS Contracts Scheduled Weekly Hours 40 Work Shift First Shift (United States of America) Shift & Status Who Are We? We at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest non-profit behavioral...
