I Am Boundless, Inc.

Medical Billing and Coding

• Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement.
• Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies.
• Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role.
• Verify insurance benefits and confirm patient eligibility.
• Obtain prior authorization for services as required.
• Review clinician entered charges entered for accuracy before generating claims.
• Prepare and submit claim files.
• Post insurance and clients payments accurately and in a timely manner.
• Analyze and address ERA/EOB denials by taking appropriate corrective action.
• Manage accounts receivable and actively pursue outstanding balances.
• Oversee client collections to ensure timely payment.
• Handle insurance appeals for denied or underpaid claims.
• Stay informed and compliant with payor reimbursement policies, procedures, and guidelines.
• Monitor and apply contracted fee schedules to ensure accurate expected payment.
• Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff to ensure exceptional customer service.
• Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc.
• Other duties as assigned.

Medical Billing and Accounts Receivable Specialist