Collaborate MD Medical Billing Denial/Aging Specialist

11 hours ago

Remote, Oregon, United States Alert Billing Full time $40,000 - $80,000 per year

Our company is growing aggressively and we are looking for experienced medical billing specialists to help serve our clients. This is a work from home opportunity. The focus of this position is working denials and aging in Collaborate MD.

Responsibilities Include:

  • Understanding of primary code classifications: ICD-10, CPT and HCPCS. Assign and sequence all CPT and ICD-10 codes for services rendered when required.
  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Proficiency with Collaborate MD and/or Cerner a plus.
  • Following up on unpaid claims within standard billing cycle time frame.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments when necessary.
  • Identifying and billing secondary or tertiary insurances.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.
  • Updating billing software with rate changes.
  • Updating spreadsheets, and running collection reports.
  • Making sure to use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
  • Providing exceptional customer service skills when interacting with patients, family members regarding medical claims and payments.
  • Using problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

Qualifications

  • Certified Professional Biller (CPB) from AAPC or AHIMA a plus
  • Post High School Education
  • Minimum five years of coding experience
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Proficiency in Excel
  • Ability to work independently and maintain confidentiality at all time
  • Must be able to use job-related software, ie Collaborate MD and/or Cerner
  • Expertise in surgical coding, primary care, urology, cardiology, general surgery a plus
  • Maintain a positive, courteous and professional attitude

Job Types: Full-time, Contract

Pay: $ $18.00 per hour

Application Question(s):

  • Have you recently worked in Collaborate MD? If so when and for how long?

Work Location: Remote

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