Schedule: Full-Time, Monday – Friday
Pay Rate: $19.00/Hour
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Submit medical claims to appropriate payer.
- Ensure resubmission of claims, when applicable, are accurate.
- Ensure reimbursement of claims by submitted the most appropriate coding for services performed.
- ICD diagnosis coding, modifier application and verification of CPT and/or HCPCS codes.
- Responsible for ensuring all claims processed through Emdeon (Change Healthcare) are correct and compliant.
- Responsible for performing payer enrollment follow up·
- Keeps abreast of and comply with coding guidelines and reimbursement reporting requirements.
- Daily review and follow up on all incomplete electronic provider-billing encounters.
- Identify issues, correct code and/or pend due to missing information.
- Keep up to date on medical insurance rules and proper filing guideline.
- Answer patient calls/questions, clinic staff calls, and insurance company calls.
- Maintain a professional relationship with insurance companies and patients.
- Other duties as assigned.
QUALIFICATIONS AND REQUIREMENTS
- Minimum 1 year of experience of medical ICD & CPT coding experience preferred.
- Electronic Medical Record experience, Emdeon (Change Healthcare) software highly preferred.
- Certified Pharmacy Tech a plus
- Proficient with Microsoft Office Suite.
- Excellent verbal and written communication skills.
- Excellent organizational and time management skills.
- Analytical, problem solving, and critical thinking skills.
- Ability to organize, coordinate, prioritize, and facilitate on-going tasks.
- Ability to work independently and with a team.
EDUCATION
- High School Diploma or equivalent required.
- Medical Billing/Coder Certification from accredited entity a plus.
PHYSICAL DEMANDS
Requires sitting, standing, and occasional light lifting.
The Perks of Joining Our Team:
We believe in taking care of our team. You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:
- Comprehensive Health Benefits: Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
- Time to Recharge: Paid vacation and holiday pay.
- Focus on Your Wellness: We offer a robust Employee Wellness Program.
- Invest in Your Future: 401(k) with a company match.
- Support System: Employee Assistance Program provides confidential support and counseling.
- Get Rewarded for Referring Great People: Employee referral program.
Ready to start your rewarding journey with us? Apply today!
ProCare Rx will never ask for a financial commitment from an applicant as part of our recruitment process. All interviews are conducted in-person OR through video conference invitations from official company emails. For inquiries, please contact our recruitment team at HumanResources@procarerx.com.
ProCare Rx is an Equal Opportunity Employer.