Medical Coding and Billing Professional

4 weeks ago


Medina, Ohio, United States Everstaff Full time

EverStaff is a leading provider of medical staffing solutions, currently seeking a highly motivated Medical Coding and Billing Professional to join our client's team in a direct-hire opportunity.

The ideal candidate will have 1-2 years of experience in billing and coding, with a strong understanding of commercial insurance policies, procedures, and regulations. They will be responsible for performing in-depth analysis of accounts receivable denials and claim submissions, contacting insurance providers to verify patient eligibility, and drafting appeals for denied claims.

A competitive salary of $17-$19 per hour and a range of benefits, including 401(k), dental insurance, health insurance, vision insurance, flexible schedule, and paid time-off, make this an attractive opportunity for professionals looking to grow their expertise in a dynamic environment.

Responsibilities:

  • Perform in-depth analysis of accounts receivable denials and claim submissions.
  • Contact insurance providers to verify patient eligibility.
  • Follow-up to resolve outstanding accounts receivable balances.
  • Draft appeals for denied claims.
  • Stay informed about commercial insurance policies, procedures, rules, and regulations, including appeals, reviews, ICD-10, and CPT coding.
  • Communicate potential issues and concerns to the supervisor to ensure timely and accurate reimbursement processing.

Qualifications:

  • High school diploma or GED required.
  • 1-2 years of related experience or training, or an equivalent combination of education and experience.
  • Strong organizational skills with high attention to detail.
  • Excellent verbal and written communication skills.
  • Proficiency in Microsoft Word, Excel, and Outlook.
  • Ability to exercise sound judgment, tact, and diplomacy.
  • Familiarity with home medical equipment products, services, and payer source guidelines is preferred.


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