Medical Biller/Coder

Nevada Critical Care Consultants • Henderson, NV

433d

About The Position

The Medical Follow-Up Biller at Nevada Critical Care Consultants is responsible for managing medical billing processes, ensuring accurate and timely reimbursement for services rendered. This role requires a detail-oriented individual with extensive experience in medical billing and coding, particularly in follow-up procedures to address outstanding claims and ensure compliance with industry regulations.

Requirements

• Minimum of 8 years of experience in medical billing and follow-up procedures, preferably in a critical care or healthcare setting.
• Certification in medical billing and coding (e.g., CPC, CCS-P) preferred but not required.
• Proficient understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
• Familiarity with electronic health record (EHR) systems and medical billing software (e.g., Epic, Meditech, NextGen).
• Strong attention to detail and accuracy, with the ability to review complex medical documentation and identify billing discrepancies.
• Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare professionals, patients, and insurance representatives.
• Strong problem-solving and critical thinking skills, with the ability to independently research and resolve billing issues.
• Ability to work efficiently in a fast-paced environment, managing multiple priorities and deadlines effectively.

Responsibilities

• Process and submit medical claims to insurance companies and other payers promptly and accurately.
• Conduct thorough follow-up on outstanding claims, including denials, underpayments, and appeals, to ensure maximum reimbursement for services provided.
• Verify patient insurance coverage and eligibility, ensuring accurate billing information is used for claims submission.
• Review medical records and documentation to ensure proper coding of diagnoses and procedures, adhering to current coding guidelines and regulations.
• Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
• Monitor accounts receivable aging reports, identifying and resolving issues that may impact timely reimbursement.
• Collaborate with healthcare providers, patients, and insurance companies to resolve billing discrepancies and inquiries in a professional and timely manner.
• Stay up-to-date on industry regulations and compliance standards related to medical billing and coding, ensuring adherence to all legal requirements.

Benefits

• Comprehensive benefits package including health, dental, and vision insurance.
• Retirement savings plan (401k) with employer matching.
• Paid time off and holiday pay.
• Opportunities for professional development and career advancement within the organization.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed
• Number of Employees: 11-50 employees