Medical Billing & Coding Specialist

Family Health Center-posted 3 months ago
Full-time • Entry Level
Kalamazoo, MI
101-250 employees
Ambulatory Health Care Services
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The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately.

  • Performs insurance/patient payment posting and resolves payment transaction discrepancies with assistance from the Lead/Supervisor/Manager when necessary.
  • Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed.
  • Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front/back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor/Manager, utilizing collection procedures and adjusting of patient accounts when necessary.
  • Answer patient questions regarding statements in person and through phone calls.
  • Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS.
  • Ability to use Microsoft Office, Internet, practice management system and relational database system software.
  • Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.
  • Attend all departmental and organizational meetings as required.
  • Must have a minimum of a high school diploma.
  • Prefer an Associate Degree in Business with emphasis in Accounting/Finance from an accredited college or university in addition to one year of experience or equivalent combination of education and experience.
  • 1-2 years accounts receivable billing experience required. Areas of Family Medicine/internal medicine, preferred. PT/OT, and Behavioral Health a plus.
  • Prefer knowledge of EPIC system; must have appropriate third-party liability (TPL) and government website knowledge (i.e. CHAMPS, Connex, WPS, Availity, HMO Medicaid plans).
  • Working knowledge of ICD-10, HCPCS, and CPT.
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