Medical Billing and Coding Specialist

Riley County, KS•Manhattan, KS

4d•Onsite

About The Position

Position Summary: The Medical Billing and Coding Specialist processes insurance claims, invoices and payments ensuring medical information and patient data is accurately communicated between patients, physicians, and third-party payers. They use medical coding protocols to create claims or statements. Essential Functions: Transcribe patient information into medical codes and ensures the accuracy of the codes and medical reports Prepare and submit claims for payment, follow up on unpaid claims and correct rejected claims Prepare and send invoices for remaining balances Track outstanding payments and follow up with patients and insurance companies about outstanding bills. Communicate with medical providers, insurance companies and patients Verifies insurance coverage and eligibility and communicates with insurance companies. Correct rejected claims and re-submit as needed. Assists patients with billing concerns and follow up with patients about outstanding bills. Work with patients to create payment plans when needed. Review documents from providers for missing information, typos and grammatical or coding errors. Conduct chart audits and verify chart and coding discrepancies. Secondary Functions: Provides customer service at the clinic and the health department. Perform other duties as assigned.

Requirements

Highschool diploma or equivalent required.
2 years’ experience as a medical billing and coding specialist required.
Knowledge of a body of standardized rules, procedures or operations.
Knowledge of medical billing codes such as CPT, ICD-10 and HCPCS.
Knowledge of medical terminology
Experience in working with the public.
Basic math skills required.
Word processing applications including Microsoft Word and Excel.

Nice To Haves

Associate degree preferred with general office experience, or equivalent combination of education and experience.
certification from the American Academy of Professional Coders or similar certificate preferred.

Responsibilities

Transcribe patient information into medical codes and ensures the accuracy of the codes and medical reports
Prepare and submit claims for payment, follow up on unpaid claims and correct rejected claims
Prepare and send invoices for remaining balances
Track outstanding payments and follow up with patients and insurance companies about outstanding bills.
Communicate with medical providers, insurance companies and patients
Verifies insurance coverage and eligibility and communicates with insurance companies.
Correct rejected claims and re-submit as needed.
Assists patients with billing concerns and follow up with patients about outstanding bills.
Work with patients to create payment plans when needed.
Review documents from providers for missing information, typos and grammatical or coding errors.
Conduct chart audits and verify chart and coding discrepancies.
Provides customer service at the clinic and the health department.