Insurance Biller & Coder

Guardian Medical Management Services Inc • Auburn, AL

75d

About The Position

The Insurance Biller & Coder at Allergy Asthma & Immunology of East Alabama plays a critical role in ensuring accurate and timely processing of medical billing and coding for patient services. This position is responsible for translating healthcare services into standardized codes used for insurance claims, facilitating reimbursement from insurance providers. The role requires meticulous attention to detail to maintain compliance with healthcare regulations and insurance policies, minimizing claim denials and delays. The successful candidate will collaborate closely with healthcare providers and administrative staff to verify patient information and resolve billing discrepancies. Ultimately, this position supports the financial health of the practice by optimizing revenue cycle management and enhancing patient satisfaction through clear and accurate billing processes.

Requirements

• High school diploma or equivalent required; Associate degree or higher in Health Information Management or related field preferred.
• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) credential required.
• Minimum of 2 years experience in medical billing and coding within a healthcare setting.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems and medical terminology.
• Familiarity with insurance claim processes, payer requirements, and healthcare regulations such as HIPAA.

Nice To Haves

• Experience working in Allergy, Asthma, or Immunology specialty practices.
• Proficiency with electronic health record (EHR) systems and billing software such as eClinicalWorks (ECW).
• Additional certifications such as Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Biller (CPB).
• Strong analytical skills with experience in revenue cycle management and denial management.
• Excellent communication skills for effective interaction with patients, providers, and insurance representatives.

Responsibilities

• Review and analyze patient medical records to assign appropriate ICD, CPT, and HCPCS codes for services rendered.
• Prepare and submit insurance claims accurately and promptly to various insurance carriers.
• Verify patient insurance eligibility and benefits prior to service delivery to ensure coverage.
• Follow up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment.
• Maintain compliance with federal, state, and payer-specific regulations and guidelines related to medical billing and coding.
• Collaborate with healthcare providers to clarify diagnoses and procedures for accurate coding.
• Maintain detailed records of billing activities and generate reports on claim status and revenue.
• Assist patients with billing inquiries and provide clear explanations of charges and insurance coverage.

Benefits

• Competitive compensation and benefits package, including health insurance, retirement plans, and paid time off.
• Opportunities for professional growth, including support for continuing medical education (CME).
• Flexible scheduling to promote work-life balance.
• A collegial work environment with experienced and supportive staff.
• Access to state-of-the-art diagnostic tools and innovative treatments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree