Billing Specialist

Centrum Health • Doral, FL

20h

About The Position

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. They aim to make healthcare accessible and affordable across the ACA Marketplace, Medicare, and Medicaid by aligning the interests of health consumers, providers, and payors. NeueHealth delivers clinical care through its owned clinics (Centrum Health and Premier Medical) and partnerships, and supports providers in performance-based arrangements with technology and services. The Biller Specialist is responsible for ensuring the accuracy of the super bill/claim prior to transmission to the payer, including the validation of appropriate Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM).

Requirements

• High school diploma or GED equivalent
• Minimum of 1 year of experience as a medical biller.
• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Knowledge of CPT, ICD-10-CM and HCPCS codes.
• Knowledge of coding principles and guidelines.
• Knowledge of billing principles and guidelines.
• Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
• Excellent written and oral communication skills

Nice To Haves

• American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS).

Responsibilities

• Assign/remove CPT, HCPCS and modifiers as part of the super bill/claim validation process.
• Prepare and review super bill/claims prior to submission.
• Identify coding trends and opportunities to improve quality, efficiency and productivity.
• Checking each insurance payment for accuracy.
• Ensure compliance with billing and payers’ guidelines.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Researching and appealing denied claims.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED