Billing & Coding Specialist - Remote CPC Required
About The Position
The person handling this position is responsible for correcting, completing, processing, and collecting payment for claims of all payer codes. This role involves daily key punching into the computer to ensure billing accuracy for all services rendered, completing documentation and coding on the EMR, and monthly input of ancillary services. The specialist will also review postings, close batches, balance money posted, enter cash receipts, submit electronic claims, answer billing calls, resolve claim denials, collect patient balances, and communicate with providers regarding claim documentation.
Requirements
- High School Diploma or Equivalent
- CPC Certification required
- At least 3 years of billing and coding experience (outpatient/medical practice coding experience preferred)
- Training or background in ICD-10 / CPT codes.
- Knowledge of medical terminology and billing practices.
- Knowledge of all payer codes.
Nice To Haves
- Understanding of community-based organizations.
- Some knowledge of bookkeeping and office functions.
- Knowledge of all programs offered by NHSI.
Responsibilities
- Daily key punching into computer to assure accuracy of billing for all services rendered in patients account to be completed within 24 business hours of the completed service.
- Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim.
- Monthly input of all ancillary services including Nursing Home and Home Health charge encounters into the computer to assure accuracy of services rendered.
- Daily review of all postings before claim submission.
- Daily closing of batches and balancing of money posted.
- Enter cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.
- Responsible for submitting all electronic claims.
- Responsible for answering Billing Phone calls and providing exceptional customer service to patients with billing related questions.
- Resolving claim denials and issues with claim payment in a timely manner.
- Working to collect patient balances in a timely manner.
- Effectively communicate with providers on claim documentation for charges submitted.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
