Medical Coder/Biller/Credentialer Specialist

2 days ago


Elkton, Maryland, United States Sanctum Integrated Health Services LLC Full time
Job Opportunity

Sanctum Integrated Health Services, LLC is seeking a skilled Medical Coder/Biller/Credentialer to join our team.

Key Responsibilities:

  • Translate patient information into accurate codes using ICD-10 and CPT classifications
  • Input medical data into patient account systems with precision and attention to detail
  • Verify and correct coding errors according to coding regulations
  • Assist with billing and coding policies to ensure compliance
  • Communicate effectively with insurance providers and medical staff
  • Verify patient coverage and eligibility for medical services
  • Review and correct patient bills for accuracy
  • Prepare and transmit claims using billing software
  • Investigate and appeal denied claims
  • Update spreadsheets and reports with accurate data entry
  • Work with patients to establish payment plans
  • Stay up-to-date with billing software updates and changes
  • Obtain pre-authorizations for procedures and ensure CAQH information is current
  • Escalate issues to management as needed
  • Prepare and send credentials to insurance companies for enrollment and re-enrollment
  • Process follow-up requests with insurance companies
  • Maintain and track insurance payer contract expirations
  • Stay current with regulation changes through continuing education

Requirements:

  • 2-3 years of experience in medical billing and coding
  • Effective organizational skills with the ability to manage multiple responsibilities
  • Medical billing certification from an accredited school
  • Proficiency with computers and medical billing software
  • Knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code classifications
  • Strong communication skills with patients and healthcare companies
  • Basic accounting and bookkeeping practices
  • Associate or Bachelor's Degree preferred

We look forward to reviewing your application.



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