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Billing & Coding Specialist

Posted: June 03, 2024
Salary:US$19 - US$24 per hour
Job type: Permanent
Discipline:Revenue Cycle
Work Location:Remote

Job description

You MUST be located in Arizona and available to pick up equipment in Phoenix. This position is fully remote after Day 1.

* Prepare reports out of the EHR system as needed.
* Prioritize and work HOLD an MGR HOLD bucket
* Bill claims in accordance with payor guidelines
* Code claims according to coding and billing guidelines
* Monitors external data sources to ensure receipt and analysis of all charges.
* Monitor claim rejections percentages and report denial percentages regularly
* Identify and resolve complex claims and billing issues (including payer-rejected claims)
* Determine strategies to reduce denials based on denial reasons, changing laws and practices
* Investigate payer- rejected claims to determine reason for denial and work to obtain resolution
* Review all claims returned for Medical Necessity and correct if able; report findings to manager
* Regularly interact and assist in training of the front desk staff concerning patient insurance eligibility
* Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
* Analyzes and interprets patient medical records to identify and determine amount and nature of billable services; assigns and sequences appropriate diagnostic/procedure billing codes in compliance with requirements of third party payor requirements.

* Strong foundational knowledge in medical billing
* Accounts receivable experience
* Experience with Excel
* Desire to help underserved populations
* CPC or CCS certification required

* Provided Equipment - two monitors and a computer

* Remote Work: Work remotely from day one, must be located in the State of Arizona
* Training is conducted remotely after equipment pickup on the first day

* Work Hours: Monday to Friday, 7:00 am - 3:30 pm

Salary Range
* $19 to $24 per hour