Medical Billing Specialist

2 days ago


Colorado Springs, Colorado, United States Gastro Care Partners Full time
Job Title: Billing and Coding Specialist

Gastro Care Partners is seeking a skilled Billing and Coding Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in maximizing revenue and cash flow by validating ICD and CPT codes, performing charge entries, and following up on outstanding accounts.

Key Responsibilities:
  • Validate and verify data entered by reviewing reports for errors and correcting as necessary.
  • Collaborate with managers in assigned areas and provide feedback regarding documentation issues or reoccurring errors.
  • Ensure timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence through appropriate research and appeal processes.
  • Resolve claim rejections, underpayments, and denials with appropriate payer and initiate collection follow-up of unpaid or denied claims, interpreting remittances to determine appropriate course of action.
  • Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system, ensuring progress is made on outstanding accounts.
  • Coordinate third party collections and work toward the successful reduction in outstanding balances for assigned divisions or projects.
  • Maintain patient confidentiality according to compliance policies and HIPPAA.
  • Respond to inquiries from insurance carriers via telephone, email and/or fax, demonstrating a high level of customer service.
Requirements:
  • High school diploma or equivalent
  • Minimum of 2 years of experience in a fast-paced medical billing environment
  • Experience in a health care setting required
  • Experience working unpaid claims and denials
  • Proficiency in MS Office
  • Familiarity with CPT and ICD-10 required; CPC certification preferred

Gastro Care Partners is the national partner for successful regional gastroenterology practices. We believe in the mantra "medicine is local." Gastro Care Partners provides high-performing regional practices with the resources necessary to thrive in today's dynamic healthcare landscape while maintaining their practices' identities.



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