Medical Coding and Billing/Collections Representative

Conifer Medical Center•Conifer, CO

1d•Onsite

About The Position

The Medical Coding and Billing/Collections Representative handles medical coding, billing, payment posting, insurance follow-up, and patient collections. The role supports accurate claims and account balances, works to resolve denials and maximize reimbursement, and provides customer service to patients and staff. This position is part-time and is not remote. Pay is $20–$23 per hour.

Requirements

Strong computer skills, including experience using a fax machine, copier, printer, and telephone.
Minimum high school education, GED, or equivalent.
Entry-level knowledge of medical billing.

Nice To Haves

CPC-A certification or higher.
Experience in customer service, patient billing, and collections within the medical industry.

Responsibilities

Balance payments posted to the system against deposits.
Check insurance eligibility and benefits.
Review and submit claims to the clearinghouse or insurance company directly when needed.
Correct claims and query providers when needed to ensure the correct diagnoses and procedure codes are used.
Review medical records for accuracy and add codes when needed to make coding as specific as possible when supported by the records.
Use the medical coding system and other available systems accurately.
Contact third-party payors promptly to determine professional claim status.
Resolve insurance denials to achieve maximum reimbursement for services provided.
Answer or educate staff about changes in codes and coding guidelines.
Review accounts receivable aging reports and make appropriate collection calls on outstanding insurance and patient-responsibility balances.
Work accounts receivable claim-status buckets by contacting insurance companies promptly about professional claims.
Review and work credit balances to maintain accurate account balances.
Provide compassionate, concerned, empathetic, and ethical customer service.
Answer patient and staff telephone inquiries about billing.
Respond to communications using proper terminology.
Review past-due accounts for potential bad debt and escalate them to third-party collection or write-off when appropriate.
Follow collection policies when working patient collection amounts.
Maintain communication with the manager and customer collections.
Collect payments on unpaid patient balances.
Accurately post insurance and patient payments in various forms.
Deploy, maintain, and report on various programs.