With a patient centered culture, the Coder/Insurance Claims Specialist provides a positive experience for our patients and customers by managing the patient accounts during pre and post claims processing. This includes accurate claim coding and submission within payee guidelines and timely accounts follow-up and assistance with denial management issues to ensure financial viability.
Scheduling patients for procedures, entering payments, processing claims, verification of benefits and obtaining authorizations wien necessary. Working with collection agencies, denial follow-up, etc.
Education Requirements: High school diploma or equivalent, or higher college degree.
Experience Requirements: Required: one (1) year experience in healthcare billing/revenue cycle, patient accounting, or coding, OR graduate of a medical billing/coding or medical office program. Preferred: knowledge of patient billing practices, medical terminology, patient registartion, and federal, state and third-partyh billing regulations.One year using CPT or ICD-10 code preferred.
Licence/Certification Requirements: RHIT, CCA, CCS, CCS-P, or CPC preferred.
Physical Requirements: Light work- exerting up to 20 lbs of force occasionally and/or up to 10 lbs frequenty and/or negligible amounts constantly.