[Hiring] Billing & Coding Specialist 2 @Complete Health

Role Description

The person handling this position is responsible for correcting, completing, processing, and collecting payment for claims of all payer codes.

• Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients' accounts to be completed within 24 business hours of the completed service.
• Ensure completion of documentation and coding on the EMR when needed on charges entered in patients' accounts for a correct and complete billing claim.
• Monthly input of all ancillary services including Nursing Home and Home Health charge encounters into the computer to assure accuracy of services rendered.
• Daily review of all postings before claim submission.
• Daily closing of batches and balancing of money posted.
• Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
• Responsible for submitting all electronic claims.
• Responsible for answering Billing Phone calls and providing exceptional customer service to patients with billing related questions.
• Resolving claim denials and issues with claim payment in a timely manner.
• Working to collect patient balances in a timely manner.
• Effectively communicate with providers on claim documentation for charges submitted.

Qualifications

• High School Diploma or Equivalent
• CPC Certification required
• At least 3 years of billing and coding experience (outpatient/medical practice coding experience preferred)
• Training or background in ICD-10 / CPT codes
• Knowledge of medical terminology and billing practices

Requirements

• Ability to work under pressure
• Ability to handle multi-functions/multi-tasks
• Ability to problem solve
• Pay attention to detail
• Understanding of community-based organizations
• Ability to communicate with the medical/dental staff and Office Managers
• Some knowledge of bookkeeping and office functions
• Some knowledge of CPT and ICD10 codes
• Ability to work proficiently and efficiently on a timely manner
• Knowledge of all payer codes
• Knowledge of all programs offered by NHSI