Certified Medical Biller

3 days ago

Boerne, United States Woundlocal Full time

Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team to service the mobile wound care practice Woundlocal.

Hiring: a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. This position will assist management in transitioning from a third-party billing company to an internal billing team. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes.

Start Date: Immediate

DETAILS

The ideal candidate has been working on a "private practice" clinical office team for 4+ years whose primary payer is Medicare, but also bills commercial insurance.

This position works closely with our clinical staff, providers, and client-facility staff billing advanced wound care encounters, with particular attention to skin graft application. This position plays a key role in determining the reimbursement potential of Woundlocal with adherence to compliant standards and corporate policies developed to ensure accurate billing.

The ideal candidate must also be able to demonstrate excellent written and verbal communication skills. For example, corresponding with providers via electronic media and discussing issues over the phone will be a large part of this position when requesting the required addendum documentation. Enthusiasm, organization, and commitment to teamwork are essential for success in this role.

Key Duties / Responsibilities:

  • Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits.
  • Reviews provider charts for completion and following practice standards.
  • Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions.
  • Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers.
  • Performs some of the insurance benefits verifications with in network and out of network payers
  • Analyzes claims rejections and initiates appeals if applicable.
  • Analyzes aging accounts receivables and lost client revenue, provides recommended actions.
  • Liaison to administration of client facilities, including but not limited to, skilled nursing facilities, home health networks, and mobile practices.
  • Liaison to third-party billing company while also building an internal team.
  • Grow a culture of excellence, integrity, and collaboration.
  • Greater responsibilities are available should the candidate experience match the responsibilities.
  • Duties, Responsibilities, and Compensation will be adjusted to the individual hire's experience level and expertise.

Job Type: Full-time

Pay: comp package $28.00 - $40.00 per hour, based on experience

Benefits:

  • Stock option opportunity
  • Medical, Vision, and Dental insurance
  • Employee discount
  • Paid time off
  • Professional development assistance

Schedule:

  • No less than 40 per week
  • Monday to Friday

Experience:

  • Medicare billing: 4 years (Required)
  • EMR systems: 4 years (Required)
  • Insurance verification: 4 years (Required)

Work Location: In person, either Boerne or Austin office (no remote work)

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MORE INFO

Why this Job is Awesome

Join us and you will see, we don’t do things like everyone else. We are the newest and fastest-growing in popularity for online healthcare. It’s no secret how we're accomplishing this … it’s our incredible team members and the culture we’re building

If you are looking for an amazing place to work, grow, learn, and have a blast - this is it.

  • Great team We spend a ton of time hiring and training the best people.
  • Great pay We pay well and your pay increases based on performance.
  • Great opportunities We're growing and we like to promote from within. If you're a true rock star, the opportunities are limitless
  • Great office Best technology, office perks and free lunch every Friday.

Requirements

Qualifications:

  • 2+ years of college or advanced education
  • 4+ years employed in a private medical practice
  • 2+ years managing employees
  • 4+ years of insurance verification
  • 4+ years using billing portals
  • 4+ years experience with ICD-10, CPT, & HCPCS codes
  • Proficiency in EMR systems
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • Strong computer skills
  • Experience with home health and/or skilled nursing facilities a plus
  • Competitive nature
  • Happy disposition

Benefits

Benefits:

  • Medical, Vision, and Dental insurance
  • Employee discount
  • Paid time off
  • Office bonus pool
  • Professional development assistance

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