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Medical Billing and Coding Specialist

2 months ago

Kalamazoo, Michigan, United States FAMILY HEALTH CARE CENTER OF KALAMAZOO Full time
Job Summary

We are seeking a highly skilled Medical Billing and Coding Specialist to join our team at the FAMILY HEALTH CARE CENTER OF KALAMAZOO. As a key member of our revenue cycle team, you will be responsible for reviewing daily patient account transactions with a high level of speed and accuracy.

Key Responsibilities
  • Insurance/Patient Payment Posting: Perform insurance/patient payment posting and resolve payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary.
  • Coding and Claims Management: Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed.
  • Payer Website and Practice Management System: Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary.
  • Patient Communication: Answer patient questions regarding statements in person and through phone calls.
  • Third-Party Liability and Government Websites: Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, C-SNAP, WebDenis, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS.
Requirements
  • Education: Must have a minimum of a high school diploma.
  • Experience: Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience.
  • Certifications/Licenses: 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus.
Working Conditions

The noise level in the work environment is usually quiet to moderate.

Physical Demands
  • While performing the duties of this job, the employee is regularly required to use hands for use of a PC as well as other office equipment.
  • The employee is frequently required to stand; walk; sit and talk and use hearing to listen.
  • The employee is occasionally required to reach with hands and arms and stoop, and kneel.
  • The employee must occasionally lift and/or move up to 25 pounds.
Qualifications
  • Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
  • To perform this job successfully, an individual should have working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software.