Duties & Responsibilities:
Possesses and demonstrates strong medical coding, billing, accounting, and compliance knowledge and skills. Understands and applies coding, billing, and compliance regulations when appropriate, on own initiative. Accurately explains coding, billing, and compliance regulations to the billing staff. Responsible for all aspects of the medical billing cycle including data entry, claims coding/ filing, denials management, patient billing and collections. Reviews reports and trends information regarding physician compliance with coding and documentation guidelines and monitors all medical billing documentation with regards to the utilization of diagnoses, missing charges, and denials. This employee will also be responsible for customer service/client relations communications with all parties involved in the medical billing process.
Required Skills
- Must have be a Certified Professional Coder
- Detail oriented, responsible, self-starter, team player, and able to learn quickly.
- Strong verbal and written communication skills.
- Solid computer skills including Microsoft software.
- Able to manage variety of tasks concurrently.
- Able to motivate, encourage, and lead team effectively.
- Excellent interpersonal skills and able to work with a variety of personality types.
- Partner with clients effectively on a daily basis.
- Strong customer service background.
- Experience with Medical Billing in Pediatrics
Preferred Education / Work Experience
- High School Diploma required.
- Minimum of five years current medical billing and training experience or equivalent
combination of education, training, and healthcare experience.
- Experience using medical billing software
Medical Billing Manager Duties
- Fill in were needed in Medical Billing and Coder Clerk duties
- Verify all claim entries
- Verify all payment entries
- File claims with insurance companies
- Post Insurance Payments that are direct deposit.
- Batch post BCBS weekly payments
- Work reports to clean up and monitor accounts
- Assist the coding clerk with complicated diagnosis
- File appeals to insurance companies that have been denied incorrectly
- Move delinquent accounts to the past due accounts before statements are printed.
- Call Sending to Collection accounts before sending discharge letters.
- Mail certified collection letters to the discharge patients for delinquencies on their account.
- Process accounts to the collection company
- Update superbill with new CPT codes
- Calculate fee schedules
Job Type: Full-time
Pay: $17.00 - $18.00 per hour
Work Location: In person
