- Identify billing errors for corrections and resubmit claims to insurance carriers.
- Follow up on payment errors, low reimbursement, and denials.
- Compile, code, and submit patient insurance claims to insurance companies as well as follow up on all claims from charge entry through resolution.
- Review insurance EOB's and initiate appeals as necessary.
- Respond and appeal to medical necessity denials.
- Updating system errors, noting system, researching insurance guidelines.
- Follow protocol to determine best course of action to follow up on open receivables.
- Research root issue of denial. Apply knowledge of payer policies to pursue proper course of appeal or follow up to obtain payment.
- Review account history for continuous follow up.
- Contact insurance companies and/or patient/guarantor through phone contact, correspondence, online portals and other approved means to obtain status of outstanding claims and submitted appeals.
- Documents clearly in billing system the claim issue and course of action taken on every account worked. Documentation and action must be clearly noted for future follow up and review.
- Escalate issues and problems to supervisor as appropriate.
- Identify trends or patters of persistent problems.
- Perform charge corrections based on payer and institutional policies.
- Negotiate out-of-network reimbursement, based on determined criteria for max reimbursement.
- Perform other related duties as assigned by management.
- High school diploma or equivalent.
- Certified Professional Coder Certification (CPC) from AAPC required.
- Three to five years experience with ICD-10, insurance collections and processing out-of-network claims.
- Excellent written and oral communication skills.
- 10-key by touch; keyboarding speed of at least 50 wpm.
- Knowledge of medical billing terminology.
- Ability to perform diversified clerical functions and basic accounting procedures.
- Ability to effectively communicate with people at all levels and from various backgrounds.
- Commitment to excellence and high standards.
- Strong organizational, problem-solving, and analytical skills.
- Ability to manage priorities and workflow.
- Acute attention to detail.
- Ability to work independently and as a member of various teams and committees.
- Proven ability to handle multiple projects and meet deadlines
- Bilingual skills a plus.
- Competitive salary and benefits package
- Health, dental, and vision insurance
- Retirement Plan
- Employee Assistance Program
- Paid Time Off
- Opportunities for professional development and growth
- Collaborative and supportive work environment
-
Respiratory Therapist
1 week ago
Holy Name Medical Center Englewood, United States Full timeDescription · Respiratory Therapist - Outpatient · Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residential hospice, nursing school, and physic ...
-
Claim Clerk
4 weeks ago
CCMSI Greenwood Village, United StatesOverview · At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company ...
-
Multi-Line Claim Adjuster
4 weeks ago
CCMSI Greenwood Village, United StatesOverview · At CCMSI , we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Compan ...
-
Surgical Tech Certified
3 weeks ago
Sca Health Englewood, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and he ...
-
Patient Care Tech
2 weeks ago
Surgical Care Affiliates Englewood, United StatesOverview Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and healt ...
-
Medical Assistant
6 days ago
NJ Institute for Comprehensive Englewood, United StatesJob Description · Job DescriptionWe are seeking a Medical Assistant to become a part of our team You will perform routine administrative and clinical assignments to keep the medical facility running smoothly. · Responsibilities: · Handle all administrative duties in a timely mann ...
-
Patient Care Tech
3 weeks ago
Surgery Care Affiliates Englewood, United StatesOverview · Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and hea ...
-
Lead Board Certified Behavior Analyst
2 weeks ago
Healthpro Heritage Greenwood Village, United StatesOverview · HealthPRO Pediatrics Colorado ABA Team is growing · HealthPRO Pediatrics is seeking a Lead Board Certified Behavior Analyst (BCBA) in the Greenwood Village, CO area · * Full Time | Salaried position · * Salary ranges from $83,000 - $ DOE) · * Generous paid time off · * ...
-
Marketing and Advertising Coordinator
6 days ago
ClientSolv Technologies Englewood, United StatesJob Description · Job DescriptionCompany Description · ClientSolv Technologies is an IT solution firm with over a decade of experience serving Fortune 1000 companies, public sector and small to medium sized companies. ClientSolv Technologies is a woman-owned and operated company ...
-
Medical Receptionist
3 weeks ago
Icon Eyecare Lone Tree, United StatesAre you someone who cares about patients? Who loves solving problems? With great communication skills and attention to detail. If so, we would love to have you as part of our family. · Icon Eyecare is looking for a full time Front Desk Receptionist for our Clinic, and we are wili ...
-
Healthcare Material Handler
3 weeks ago
Elgen Staffing Englewood, United StatesJob Description · Job DescriptionOur client, a leading healthcare provider in Bergen County, has an immediate need for experienced Healthcare Material Handler, to join their growing team in Englewood. · Our candidate choice will contribute to the success of Surgical Procedures by ...
-
PM&R Medicine Physician
2 weeks ago
Summit Medical Consultants Englewood, CO, United StatesJob Description · BC/BE PM&R Medicine Physician Full Time We are seeking PM&R providers to join a growing physician owned group at an Inpatient Rehabilitation Hospital in Colorado Springs. · Physicians self-schedule (block schedule possible) · Offering base salary plus bonuses ...
-
Sales Coordinator
2 weeks ago
DVL Group, Inc. Englewood, United StatesJob Description · Job DescriptionThis Service (aka Sales) Coordinator works with Generator Service, Sales, and other Departments in handling project coordination. This Coordinator ensures customers are invoiced, projects are closed, and costs and revenues are recognized in a time ...
-
personal care worker
2 weeks ago
Jet Health Englewood, United StatesJob Description · Job DescriptionDescription:As a Personal Care Provider, it is necessary that you fulfill the following responsibilities to the best of your ability, in accordance with Agency policy and procedure, and as determined by your Agency Assignment. · Function within yo ...
-
Lead Board Certified Behavior Analyst
2 weeks ago
HealthPRO Heritage Englewood, United StatesOverview: · HealthPRO Pediatrics Colorado ABA Team is growing · HealthPRO Pediatrics is seeking a Lead Board Certified Behavior Analyst (BCBA) in the Greenwood Village, CO area · Full Time | Salaried position · Salary ranges from $83,000 - $ DOE) · Generous paid time off · Comp ...
-
personal care worker
2 days ago
Jet Health Inc Englewood, United States Paid WorkPERSONAL CARE WORKER · Englewood, CO ) · Job Type · Full-time · Description · As a Personal Care Provider, it is necessary that you fulfill the following responsibilities to the best of your ability, in accordance with Agency policy and procedure, and as determined by your Agency ...
-
Senior Payroll Administrator
2 weeks ago
Advanced Network Management Inc Englewood, United StatesJob Description · Job DescriptionANM is looking for a Senior Payroll Administrator to join our amazing Accounting team · Who We Are: · ANM is a fast-growing IT consulting firm focused on building long-term, customer-focused relationships. We offer engineering excellence and qual ...
-
Accountant Senior
2 weeks ago
CommonSpirit Health Mountain Region Englewood, United StatesWelcome to CommonSpirit Health Mountain Region: · CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happenboth inside our hospitals and out in the communi ...
-
Senior Audit Accountant, Financial Services
10 hours ago
Wipfli Englewood, United StatesOverview: · At Wipfli, people count · The way you think makes you different. At Wipfli, we embrace that. · Our inclusive culture provides a space for everyone to have a voice. Our growing number of DEI resource groups celebrate diversity and champion awareness throughout Wipfl ...
-
Board Certified Behavior Analyst
2 weeks ago
Healthpro Heritage Greenwood Village, United StatesOverview · HealthPRO Pediatrics is seeking a Board Certified Behavior Analyst (BCBA) in the Greenwood Village, CO area · Would you like to be a part of a team where you can excel and truly make a difference? As a company led by therapists, HealthPRO Heritage prides ourselves on c ...
CPC Certified Billing - Englewood, United States - Progressive Spine & Orthopaedics, LLC
Description
JOB TITLE: CPC Certified Billing & Coding Specialist
NOTE: Must be CPC Certified
SUMMARY: The Certified Billing and Coding Specialist at Progressive Spine & Orthopaedics plays a crucial role in ensuring accurate and timely processing of medical bills. Responsibilities include reviewing patient records, assigning accurate medical codes, submitting claims to insurance companies, and following up on unpaid claims. The specialist must stay updated with coding guidelines and regulations to ensure compliance. Additionally, they work closely with healthcare providers and insurance companies to resolve billing discrepancies and ensure efficient reimbursement processes.
DUTIES AND RESPONSIBILITIES:
QUALIFICATIONS:
BENEFITS:
Progressive Spine & Orthopaedics is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
PI9e8fda2bb16a