Billing and Coding Associate

Derick Dermatology PLLC

9h•Remote

About The Position

The Billing and Coding Associate is responsible for entering payments within an EMR system and generating invoices to be sent to the patient. This position is responsible for accurately coding medical claims and sending electronically to insurance payers each day. Handles in-bound and out-bound calls, insurance verification, assisting patients with insurance questions, and working both patient and insurance aged receivables.

Requirements

Official High School Transcripts, Diploma or Equivalency Certificate
Ability to navigate between different tabs and systems on the computer while attending phone calls.

Nice To Haves

CPB or other Medical Billing Certification desired, but not required.
CPC or Medical Coding Certification desired, but not required.
Strong Attention to Detail
Ability to Multitask
General Understanding of Insurance Terminology
Ability to Communicate Clearly with Patients and Staff

Responsibilities

Collects, posts, and manages patient account payments.
Prepares and reviews patient statements.
Imports and balances EFT’s.
Identifies and corrects rejected claims.
Reviews delinquent accounts and contacts for collection purposes.
Verifies patients’ insurance coverage.
Answer questions regarding billing and insurance policies.
Process payments from insurance companies.
Follows up to see if a claim is accepted or denied.
Reviews and appeals unpaid and denied claims accordingly.
Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately.
Obtains precertification, if required, for specific procedures.
Investigates insurance fraud and reports if found.