Certified Medical Biller and Coder

Certified Medical Biller and Coder: Nephrology and Hypertension Specialists P.A. is seeking for the right individual with a positive attitude to join our growing practice. Qualifying candidate must be able to resolve billing issues, rejections, denials, and appeals. Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources. Reviews billing charges and other data for accuracy and potential reimbursement enhancement. Run, review, and summarize reports for billing and reimbursement. Remain up to date on billing guidelines. Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing revisions in the electronic billing system. Works as part of a cross-functional team to ensure all services provided are billed in a timely and accurate manner. Handles sensitive and confidential information appropriately and in compliance with HIPAA regulations. Knowledgeable in E-Clinical Works EMR a big plus.

Responsibilities for this position include; but not limited to:

• Medical Billing and Coding
• Processing Claims Daily
• Confirm patient insurance verification and eligibility
• Minimum Knowledge, Competencies and Qualifications:
• 1-3 years in patient collections in a private practice
• Proficiency with MS Office
• Strong communication skills/oral and written
• Strong Organizational skills
• Experience with Medicare/Medicaid/Third Party payers is required
• Knowledge of ICD-10 (1 year preferred), CPT, HCPCS and Medical Terminology
• Excellent time management skills
• Ability to work independently and as part of a team
• Strong analytical and problem-solving skills, attention to detail

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and abilities required.

Educations And/or Experience:

• H.S. Diploma or equivalent required.
• Minimum 2-3 years of experience in medical billing and coding
• Certified in Medical Billing and Coding (Required)
• Experience with Microsoft Excel, email programs and online information systems.
• Experience working with all payer types to include Medicare, Medicaid, and third party commercial insurance companies.

Benefits: Health insurance, Paid time off, 401K

Job Type: Full-time

Benefits:

• 401(k)
• Health insurance
• Paid time off

Education:

• High school or equivalent (Preferred)

Experience:

• ICD-10: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)