RCM Medical Billing Coordinator

Veradigm • Raleigh, NC

6d • Remote

About The Position

RCM Medical Billing Coordinator

Requirements

• Strong customer service skills
• Answering client calls
• Prompt return and follow up to all interactions
• Prompt response to requests for information, both internally and externally
• Prepares charges for offshore operations and answers and resolves questions
• Complete chargers and/or resolve charge and payment inquires for off-shore vendors
• Prepares assigns and reconciles batches
• Provides ongoing communication and reviews discrepancy process
• Reviews source codes
• Tallies Hash totals
• Maps ICD nine, CPT, and modifiers as needed
• Creates claim edit report for charge entries
• Reconciles imputed payment postings and balances batch reports
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc.
• Return any charges to the Doctors office that require clarification
• Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch
• Import or enter Charges and post payments for Clients not placed with IHS
• Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed
• Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately
• Complies and enforces all policies and procedures related to the position, the department, and the company
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements
• Demographic, charge and payment import posting (specific to our India based team)

Responsibilities

• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
• Prepares charges for offshore operations and answers and resolves questions.
• Complete chargers and/or resolve charge and payment inquires for off-shore vendors.
• Prepares assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.
• Reviews source codes; tallies Hash totals.
• Maps ICD nine, CPT, and modifiers as needed.
• Creates claim edit report for charge entries.
• Reconciles imputed payment postings and balances batch reports.
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc., return any charges to the Doctors office that require clarification.
• Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch.
• Import or enter Charges and post payments for Clients not placed with IHS.
• Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.
• Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.
• Complies and enforces all policies and procedures related to the position, the department, and the company.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
• Demographic, charge and payment import posting (specific to our India based team)

Benefits

• holidays
• vacation
• medical
• dental
• vision insurance
• company paid life insurance
• retirement savings

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed