Job description

• Reviews charges daily in the practice management system accurately and in accordance with information reflected in clinical documentation including but not limited to CPT/modifiers, diagnoses, providers, units provided and service location
• Completes all third party electronic and manual billing timely and accurately in accordance with appropriate rules and regulations
• Daily claim denial management, including claims correction and resubmission
• Working daily clearinghouse rejection reports
• Analysis and resolution of outstanding insurance accounts receivable
• Resolves issues associated with incomplete claims including follow up of non-transmitted claims
• Applying private and government payer policies
• Follow up on unpaid claims within the standard billing cycle timeframe.
• Files appeals according to payor guidelines and with all pertinent documents and clinical documentation using payor websites and available technology.
• Complete insurance authorization for medications and procedures

Minimum Requirements/ Qualifications

· High school diploma or equivalent

· Minimum of two years of medical billing and authorization experience in a medical practice or healthcare setting required.

· Active coding certificate from AAPC or Ahima preferred.

· Knowledge of medical terminology, CPT, and ICD10 coding and guidelines.

· Experience with working in a Pain Management Clinic setting.

· Familiarity with web-based audit tools

· Strong Microsoft Office skills (Excel, Word, Outlook)

· The ability to multitask

· Excellent written and oral communication skills

· Exceptional attention to detail

Job Type: Full-time

This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Day shift
• Monday to Friday

Experience:

• ICD-10: 2 years (Preferred)
• Pain Management Clinic: 2 years (Preferred)
• Medical billing: 2 years (Preferred)

License/Certification:

• Medical Coding Certification from AAPC or Ahima (Preferred)

Work Location: Remote

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