Medical Billing Specialist- Certified Coder

Benefits Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire) 12 Paid Holidays (including 1 mental health day) 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment) Flexible Spending Account (FSA) 40 hours of sick pay (following completion of 90th day of employment) 120 hours of PTO accrued within the 1st year of employment Job Description Overview Reporting to the Revenue Cycle Manager, the Billing Specialist will process charges as part of the billing function within the organization's established policies. Performs billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Consistently utilizes and facilitates effective strategies to communicate pertinent information in a timely manner. The Medical Biller works in a team-based model of care. Option for hybrid schedule after the initial 90 days. Essential Functions And Responsibilities Codes such items as invoices, vouchers, expense reports, check requests, etc., with correct codes conforming to standard procedures to ensure proper entry into Allscripts. Uses critical thinking skills to interpret information furnished in written, oral, diagram, or schedule form and to follow complex dental processes. Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly. Projects accurate future occurrences based on current or historic data. Strong math skills to add, subtract, multiply, and divide as well as work with fractions and percentages accurately. Handles all patient requests via phone or email. Prepares non-inventory purchase order requisitions. Investigates and resolves problems associated with the processing of charges. Prepares batch reconciliation reports. Assists with monthly status reports and monthly closings. Reconciles various accounts by identifying errors in posting or omissions by applying appropriate billing standards. Systems Processes Ensures efficiency, accuracy, and accountability of information and data. Performs claims processing functions in a timely and accurate manner. Checks “superbills” for accuracy prior to entering them into the system. Reviews and, as necessary, corrects data entry and billing errors prior to transmission. Bills payment source(s) within 48 hours of the patient’s visit. Posts payment checks to appropriate accounts. Research payment denials and resubmit for payment as necessary. Checks count of “superbills” against daily log to ensure that every patient’s visit-related paperwork has been received, posted, and billed. Prepares month-end reports. Looks up CPT and ICD-10 codes for accurate coding. Performs weekly transmission of claims. Updates daily error reports for clinic/nurse managers. Qualifications High School diploma or the equivalent. Medical Coder Certificate a must. Two to three years’ related experience and/or training; or equivalent combination of education and experience. Proficient in MS Word and Excel Software and tech savvy. Company Requirements Must be able to pass a pre‑employment drug test, physical, and a background check to include a 7‑year criminal, 10‑year SSN & employer history reference check. Must be able to provide proof of COVID‑19 vaccination on the first day of work. Excellent interpersonal skills. Attention to detail. Must be able to work flexible schedules. Must take yearly flu shot or wear flu mask during flu season for patient‑facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention. #J-18808-Ljbffr