Billing Manager

Woundlocal•Austin, TX

23h•Onsite

About The Position

Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team to service the mobile wound care practice Woundlocal. This role requires a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. The individual will be responsible for verifying patient benefits, reviewing provider documentation, providing real-time feedback to the medical team, ensuring timely submission to payers, reviewing claim denials, submitting appeals, and billing secondary insurance for advanced wound care services and allograft skin substitutes.

Requirements

Extensive experience in Medicare billing
Extensive experience in commercial and federal insurance benefits verification
2+ years of college or advanced education
4+ years employed in a private medical practice
2+ years managing employees
4+ years of insurance verification
4+ years using billing portals
4+ years experience with ICD-10, CPT, & HCPCS codes
Proficiency in EMR systems
Proficiency in Microsoft Office (Word, Excel, Outlook)
Strong computer skills

Nice To Haves

Experience with home health and/or skilled nursing facilities a plus
Competitive nature
Happy disposition

Responsibilities

Direct peers on work queues, assignments and priorities
Culture leader and attention to team dynamic
Coordinate internal training and third party strategic learning sessions
Provide accurate answers to queries from providers, management, and internal staff.
Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions.
Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers.
Analyzes aging accounts receivables and lost client revenue, provides recommended actions.
Liaison to third-party billing company while also building an internal team.
Grow a culture of excellence, integrity, and collaboration.
Review and analyze medical documentation to ensure accurate coding and billing processes.
Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations.
Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems.
Collaborate with healthcare providers to clarify documentation and ensure completeness.
Identify and resolve discrepancies in medical records and coding for accurate claims processing.
Evaluate and re-file appeals of patient claims that were denied.
Stay up-to-date on new coding rules and code changes.
Assist in audits and provide necessary documentation for compliance and quality assurance activities.
Collect and distribute coding related information and billing issues to management and provider when changes happen.
Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits.
Reviews provider charts for completion and following practice standards.
Performs some of the insurance benefits verifications with in network and out of network payers
Analyzes claims rejections and initiates appeals if applicable.