Coding Specialist
Balance Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona, California, Colorado, Florida, Hawaii, Illinois, Missouri, Nevada, North Carolina, South Carolina, Texas, Virginia, West Virginia • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for billing, coding, and resolving encounter forms from the clinics, surgery centers, and hospitals related to Balance Health
- Identify and present improvement recommendations based on gathered knowledge and experience while working directly with the providers’ documentation and productivity
- Assist in monthly audits
- Determine and assess patient records, review accounts receivable activities, and collect payment
- Responsible for communication with clinicians on a regular basis
- Responsible for coding and billing accuracy to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices
- Responsible for complete and accurate Patient Demographic Information
- Follow up on rejected and/or unpaid claims according to standards
- Regulatory Billing Practices Audit & Analysis
- Determine accuracy of Insurance Payments and follow up on discrepancies
- Run and build reports as required
- Review and appeal unpaid and denied claims
- Monitor A/R and Collections
- Identify and bill secondary or tertiary insurances
- Respond to patient and/or insurance companies billing questions
- Execute work on assigned claim worklists, AR worklists, reporting, or projects
- Communicate trends and root issues through proper lines of reporting
- Provide support to medical providers and practice specialists as appropriate regarding coding compliance documentation
- Meet productivity and Key Performance Indicator standards
Requirements
- High school diploma or equivalent
- Minimum of 3 years’ experience interpreting insurance explanation of benefits
- Minimum of 3 years’ experience with medical claims, billing, payment posting and insurance collections
- Certified Professional Coder (CPC) required
Benefits
- This position may also require light travel to the practices (POV mileage will be reimbursed)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billingcodingmedical claimspayment postinginsurance collectionsauditsaccounts receivablereport buildingclaim resolutioncoding compliance
Soft skills
communicationproblem-solvingattention to detailorganizational skillsanalytical skillsinterpersonal skillstime managementcollaborationadaptabilitycustomer service
Certifications
Certified Professional Coder (CPC)