In-Office Medical Coder and Billing Specialist

Growing Hanover Family Practice Associates, LLC seeks Medical Billing Specialist with a minimum of two years billing experience to become an integral part of our in-office Billing/Collections team.

This person will be a full-time, detail-oriented, goal-oriented, revenue-driven, highly accurate and motivated Biller. Primary duties include, but are not limited to: consistently follow up on unpaid claims utilizing monthly aging reports and filing appeals when appropriate to obtain maximum reimbursement. Secondary duties include but are not limited to: data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits

REQUIRED SKILLS

• Certified Professional Coder

• Computer experience is essential, including, but not limited to: practice management software, Electronic medical record software, Microsoft Office applications.

• EPIC and Excel experience is a plus.

• Experience in CPT, ICD-10, HCPCS, and Category II Coding

• HCC – Risk Adjusting

• Perform Level of service claim audits utilizing E/M Documentation Auditor’s Worksheet

• Familiarity with medical terminology.

• Excellent customer service skills.

• Strong written and verbal communication skills.

• Ability to manage relationships with various Insurance payers.

• Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement.

• Investigating rejected and denied claims

• Verify the accuracy of standard healthcare codes utilized prior to submission

• Responsible use of confidential information.

• Perform to company standards of compliance with policies and procedures.

• Ability to multi-task and work courteously and respectfully with fellow employees, clients and patients.

DETAILED WORK ACTIVITIES

• Ensure all claims are submitted with a goal of zero errors.

• Initiate discussions with patients regarding their patient accounts receivable

• Accurately post all insurance payments by line item.

• Timely follow up on insurance claim denials, exceptions or exclusions.

• Meet deadlines.

• Reading and interpreting insurance explanation of benefits.

• Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.

• Respond to inquiries from insurance companies, patients and providers.

• Regularly meet with Account Manager to discuss and resolve reimbursement issues or billing obstacles.

• Regularly attend monthly staff meetings and continuing educational sessions as requested.

• Perform additional duties as requested by Supervisory or Management team.