Medical Biller and Coder

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General Summary:

Performs work in accounts receivable and patient billing. This position identifies and codes patient professional fees for SCPCC. This position is dedicated to scrubbing and filing all commercial, Medicaid CMO, and Medicare claims. The position also follows up on lag times, electronic and paper denials. This position interacts with all levels of the organization to ensure cost-effective, accurate and timely coding of professional services.

Employment Status: FSLA Non-Exempt Status

Duties and Responsibilities:

1. Ensure timely and accurate problem resolution between the organization and its patients.

2. Ensure timely and accurate billing and collection of medical claims. Ensure that the billing and collection processes meet or exceed the organization's financial and operational goals.

3. Ensure the billing processes and collection mechanisms meet or exceed all requirements for internal controls as well as those from all third party payors.

4. Ensure all billing processes and collection functions are compliant with all internal policies as well as state, local, and federal laws, regulations, regulatory and/or best practices.

5. Ensure all billing and collection efforts contribute to a positive patient experience.

6. Responsible for running billing reports and maintaining report books by funding source.

7. Act as liaison between Collection Agency, as well as managing and implementing procedures for payments received.

8. Coordinates Monthly statement processing.

Knowledge, Skills, and Abilities

1. Demonstrate knowledge in medical coding, claims, and billing.

2. Must have knowledge of third -party reimbursement, Medicaid, Medicare, sliding fee scale, billing and collection procedures. Must have knowledge of electronic accounts receivable applications and computer data entry. Basic knowledge of Microsoft Office Suite, Adobe Acrobat and PC's.

3. Detail-oriented to accurately determine codes for billing, data retrieval and research using a computerized system.

4. Must have excellent verbal and written communication skills.

5. Must have excellent customer service skills.

Qualifications:

1. Registered Health Information Technician (RHIT), Register Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) credentials AHIMA (CCS, CCS-P, CCA, RHIA or RHIT) Certification or AAPC (CPC, CPC-H or CPC-A) Certification required.

2. A degree or diploma from an accredited academic institution required.

3. A minimum of three to five years experience in physician billing/coding preferred.

4. Knowledge of governmental and private insurers documentation guidelines required.

Preferred Qualifications:

Registered Health Information Technician (RHIT), Register Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) credentials AHIMA (CCS, CCS-P, CCA, RHIA or RHIT) Certification or AAPC (CPC, CPC-H or CPC-A) Certification.

Job Type: Full-time

Pay: From $16.00 per hour

Expected hours: 38 - 42 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• in physician billing/coding preferred: 3 years (Preferred)

License/Certification:

• Certification as a Coding Specialist (Preferred)
• AHIMA (CCS, CCS-P, CCA, RHIA or RHIT) Certification (Preferred)
• AAPC (CPC, CPC-H or CPC-A) Certification (Preferred)

Ability to Commute:

• Ocilla, GA 31774 (Required)

Work Location: In person