Certified Medical Biller

1 month ago


Boerne, Texas, United States Woundlocal Full time
Job Summary

Freenet Health Corp. is a healthcare management services company that provides medical billing services to telehealth and mobile practice providers, including Woundlocal, a mobile advanced wound care practice. We are seeking a highly experienced Certified Medical Biller to join our team.

The ideal candidate will have 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. The successful candidate will be responsible for verifying patient benefits, reviewing provider documentation, providing real-time feedback to the medical team, ensuring timely submission to payers, reviewing claim denials, submitting appeals, and billing secondary insurance.

The ideal candidate will have a strong background in ICD-10, CPT, and HCPCS codes, as well as proficiency in EMR systems and Microsoft Office. Experience with home health and/or skilled nursing facilities is a plus.

Key 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.

Requirements

  • 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, and 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

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

Work Environment

No less than 45 hours per week. Monday to Friday. In-person work in Austin office.

Supplemental Pay

Bonus structure.

Experience

Medicare billing: 4 years (Required).

EMR systems: 4 years (Required).

Insurance verification: 4 years (Required).



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