Medical Biller - Nashville, United States - DocGo

Description

Title: Medical Biller

Location: Goodlettsville, TN

Employment Type: Full time, In-office

Pay Rate: $ $22.00 per hour depending on experience

Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k

About DocGo:
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.

Responsibilities:

• Measures compliance and accuracy through routine pre-bill and post-bill reviews and audits
• Measures and monitors company-wide performance, prepares reports, charts, graphs or other information relative to operational effectiveness
• Maintains and manages numerous daily and monthly reports needed to ensure high quality, real-time compliance practices
• Develops and monitors reporting tools to track Key Performance Indicators (KPIs), (e.g. Status of trip inventory, authorizations captured/pending, PCS and Signature compliance)
• Performs routine audits by market and individual to train to compliance
• Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
• Responsible for escalating concerns regarding questionable paperwork to appropriate management
• Ensures all audits are conducted timely
• Other duties as assigned

Qualifications:

• Must have ambulance billing experience
• Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
• Ambulance/Medical billing certification or diploma preferred
• Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred
• Excellent organizational skills and the ability to multitask in a fast-paced environment
• Analytical - collects and researches data; uses intuition and experience to complement data

EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.