Medical Billing & Coding Specialist

FAMILY HEALTH CARE CENTER OF KALAMAZOO • Kalamazoo, MI

10h • Onsite

About The Position

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.

Requirements

• Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.
• Working knowledge of Microsoft Office utilizing Excel Spreadsheet software and Word processing software.
• Ability to use Internet, practice management system and relational database system software.
• Must have the ability to learn additional software to support the Accounting/Finance function.
• Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.
• Must have a minimum of a high school diploma
• 1-2 years accounts receivable billing experience required.
• Working knowledge of ICD-10, HCPCS, and CPT.

Nice To Haves

• 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.
• 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).

Responsibilities

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED