Medical Billing and Coding Associate

DocGo•Ridgewood, NY

18h•$20 - $24•Onsite

About The Position

DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care. Position Overview: We are seeking a skilled and detail-oriented Medical Billing and Coding Associate with a primary focus on coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices.

Requirements

Must have 2-3 years of medical billing experience (required)
Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
Proficient in CPT and ICD-10 coding
Excellent organizational skills and the ability to multitask in a fast-paced environment
Analytical - collects and researches data; uses intuition and experience to complement data

Nice To Haves

Ambulance billing experience (preferred)
Ambulance/Medical billing certification or diploma preferred
Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred

Responsibilities

Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
Responsible for escalating concerns regarding questionable paperwork to appropriate management
Contact payers to verify claim status via phone or web and follow up on unpaid claims
Process appeals on aged insurance claims/denials
Ability to analyze, identify and resolve issues which may cause payer payment delays
Identify and resolve claim edits through understanding of billing guidelines and payer requirements
Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
Review all EOBs for correct payment, deductible, adjustments, and denials
Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
Reconcile account balances, and verify payments are applied correctly
Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
Follow up on appeals/corrected submitted claims
Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
Review and audit customer service account inquiries
Receive inbound/outbound customer service call
Provide excellent customer service to all patients, Insurances & Facilities
Review and correct all rejections in clearing house
Perform all other related duties as assigned