[Hiring] Medical Collection Specialist @Gastromed, LLC

Role Description

In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB, Payments, Denials, and appeals.

Qualifications

• High School Diploma required.
• Minimum one (1) year of experience in medical billing and/or medical collections.
• Experienced candidates may be considered for a remote work arrangement. Remote candidates must reside and work within the State of Florida.
• eClinicalWorks (eCW) experience preferred.
• Pathology billing experience preferred.
• Bilingual English/Spanish preferred; must be able to read, write, and speak English.

Requirements

• CPC Certified Preferred
• In depth knowledge of ICD10 and HCPCS coding.
• Excellent communication, Customer Service and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Must be able to work independently with minimal supervision.
• Able to respect and maintain patient confidentiality at all times.
• Must be dependable and conduct him/herself in a professional manner.
• Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties.
• Must be able to follow policies and procedures.

Benefits

• Competitive salary.
• Employee Health Insurance is covered at 100%.
• Dental, Vision, Life, and 401k Benefits.

Essential Duties/Responsibilities

• Identify denial trends and make recommendations for resolutions.
• Process rejections/denials and resubmit claims as needed.
• Appeal denied claims and follow up as needed.
• Answer patients’ or insurers’ billing questions and resolve issues or disputes in a timely manner.
• Review patient information to determine or identify claim denial causes.
• Communicate with insurance companies for claim(s) payment.
• Request correct adjustment to resolve outstanding account balances.
• Maintain accurate and detailed chart notes in the system.
• Follow up on patient denials prior to the payer’s appeal deadline.
• Perform any other duties as assigned.

Pre-Employment Requirements

• Criminal Background Check