Job Description

Medical Coding and Billing Specialist - Remote

Job Description

Clover Medical Billing 128 is pleased to announce an opening for a dedicated Medical Coding and Billing Specialist. We are looking for a meticulous and skilled individual to join our team. This vital role involves managing detailed, sensitive medical information with precision and care. This is a remote position. The candidate will be expected to handle multiple facets of medical billing and coding, ensuring accuracy, compliance, and timely processing in line with healthcare regulations.

The successful applicant will take on responsibilities that ensure seamless operations within our medical billing department, contributing to the efficient management of patient data and billing processes. This full-time position offers a competitive wage range of $18-20 per hour, reflective of the skills and certifications required.

Duties and Responsibilities

• Review patient bills for accuracy and completeness, and obtain any missing information to ensure accurate billing.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Follow up on unpaid claims within standard billing cycle timeframes, checking each insurance payment for accuracy and compliance with contract discounts.
• Call insurance companies regarding any discrepancy in payments if necessary.
• Identify and bill secondary or tertiary insurances.
• Review accounts for insurance of patient follow-up.
• Research and appeal denied claims.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts.
• Update billing software with rate changes.
• Ensure insurance compliance and adherence to Department of Health HIPAA, preserving patient confidentiality as per legal guidelines.
• Utilize medical classification software to assign procedure and diagnosis codes for insurance billing.
• Resolve discrepancies in medical documentation and coding, consulting with medical professionals when necessary.
• Prepare reports detailing billing activity and financial status for senior management.

Requirements

• Full-time availability.
• Minimum of two years experience in medical billing and coding.
• Experience with e-clinical works software is a considerable advantage.
• AACP certification required.
• ICD-10 certification required.
• CPT coding certification required.

Benefits

• Work from home
• PTO
• Paid Holidays

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