Medical Biller/Coder Specialist
6 days ago
We are seeking a highly skilled and experienced Medical Biller/Coder to join our team at CRA MSO LLC. This is a full-time role that will be based in our Chula Vista location and will provide billing support to our corporate office as well as other satellite clinics.
The ideal candidate will have experience working in a collections role for an ophthalmology practice and will thrive in a busy, fast-paced environment. They will be responsible for providing billing support, processing claims, and resolving denials in a timely and accurate manner.
Key Responsibilities:
- Understanding and proficient use of medical billing guidelines and regulations
- Knowledge of CPT, ICD-10, and HCPCS codes, as well as appropriate modifier usage for Coding and billing
- Experience with healthcare receivables, insurance claims, denial, and appeal processing
- Uses Allscripts work queues to track # claims touched and outstanding claims to process
- Recognizes when additional assistance is needed to resolve claims and escalates appropriately and timely through defined communication and escalation channels
- Meets quality assurance and productivity standards for timely and accurate denial resolution in accordance with organizational policies and procedures
- Maintains strict confidentiality regarding Patient Health Information (PHI) as well as follows HIPAA regulations
- Submit appeal to insurances and medical groups
- Answer and review pertinent insurance correspondence to insure complete and accurate reimbursement on claims
- Knowledge and skill navigating insurance portals
- Willing to work on-site
What We Offer:
- Excellent benefits, including 100% paid employee health insurance premiums, low cost dental and vision options, life insurance, disability, 401k, paid holidays, paid vacation and sick time accruals, fun holiday events and gatherings and more
We are an equal opportunity employer and welcome applications from qualified candidates. If you are a motivated and detail-oriented individual with a passion for medical billing and coding, we encourage you to apply for this exciting opportunity.
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