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Medical Billing and Coding Specialist

1 month ago

New York, New York, United States DocGo Full time
Job Summary:

We are seeking a highly skilled Medical Billing and Coding Associate to join our team at DocGo. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and coding of medical claims.

Responsibilities:
  • Partner with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
  • Responsible for escalating concerns regarding questionable paperwork to appropriate management
  • Contact payers to verify claim status via phone or web and follow up on unpaid claims
  • Process appeals on aged insurance claims/denials
  • Ability to analyze, identify and resolve issues which may cause payer payment delays
  • Identify and resolve claim edits through understanding of billing guidelines and payer requirements
  • Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
  • Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
  • Review all EOBs for correct payment, deductible, adjustments, and denials
  • Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
  • Reconcile account balances, and verify payments are applied correctly
  • Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
  • Follow up on appeals/corrected submitted claims
  • Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
  • Review and audit customer service account inquiries
  • Receive inbound/outbound customer service call
  • Provide excellent customer service to all patients, Insurances & Facilities
  • Review and correct all rejections in clearing house
  • Perform all other related duties as assigned
Requirements:
  • Must have 2-3 years of medical billing experience (required)
  • Ambulance billing experience (preferred)
  • Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
  • Proficient in CPT and ICD-10 coding
  • Ambulance/Medical billing certification or diploma preferred
  • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred
  • Excellent organizational skills and the ability to multitask in a fast-paced environment
  • Analytical - collects and researches data; uses intuition and experience to complement data
About DocGo:

DocGo is a leading provider of innovative healthcare solutions, including mobile health services, population health, remote patient monitoring, and ambulance services. Our mission is to provide high-quality, affordable care to patients where and when they need it. We are committed to disrupting the traditional four-wall healthcare system and empowering patients to take control of their health.

Why Join Us:

At DocGo, we value our employees and offer a range of benefits, including medical, dental, and vision insurance, paid time off, and a 401(k) plan. We are committed to creating a diverse and inclusive work environment and welcome applications from candidates of all backgrounds.

How to Apply:

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. Please submit your resume and a cover letter outlining your experience and qualifications. We look forward to hearing from you