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Medical Coding Specialist
2 months ago
This position provides critical support to the ACTION health center by processing Medicaid and other third-party insurance claims and invoices for reimbursement. The Reimbursement Specialist oversees the fee collection process, collects and monitors data relevant to the fee collection system, and ensures accurate and timely payment processing.
Key Responsibilities- Process referrals for RBMC/Medicaid and receive calls from outside providers requesting authorization for payment through Medicaid networks
- Process requests to Medicaid for approval of referral authorization and file claims electronically and on paper for reimbursement
- Assist applicants in completing application forms for Hoosier Healthwise/Medicaid enrollment and compile reimbursement reports
- Provide in-service orientations for fee collection system and required updates, and train clinic personnel on billing software updates or new procedures
- Maintain up-to-date logs and files of documentation, post records of payment to each individual patient account, and prepare monthly revenue reports of payments received and amount billed
- Develop and maintain alpha-numeric files, including patient encounter forms, monthly reports, special projects, insurance provider information, and bulletins
- Develop and update relevant forms, reports, patient encounter forms, etc. when changes occur to ICD-10 and CPT codes and new program or projects
- Assist the Director of Finance and Medical Director on special projects and cross-train in all aspects of billing to assist in Dental and Immunization Billing
- Maintain provider status and updates, required for billing insurance, license, and DEA numbers, and apply for new provider status with insurance carriers
- Demonstrated 3 to 5 years of related experience
- Specialized education/training normally acquired through up to 18 months
- Medical terminology
- Thorough knowledge of Medicaid enrollment/billing requirements
- Certification in Coding and Billing preferred
This is an exciting opportunity to join the Health & Hospital Corporation of Marion County team and contribute to the delivery of high-quality healthcare services. If you are a motivated and detail-oriented individual with a passion for healthcare reimbursement, we encourage you to apply for this role.