Medical Billing and Coding Associate - Madison, WI
16 hours ago
Job description
Title: Medical Billing and Coding Associate
Location: Madison, Wisconsin
Hourly Rate: $22 - $23.50 per hour
Employment Type: Full Time
About Ryan Brothers Ambulance by 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 Ryan Brothers Ambulance medical transport services, DocGo is bridging the gap between physical and virtual care.
Responsibilities:
Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
Effectively code and bill ambulance transportation claims
Responsible for escalating concerns regarding questionable paperwork to appropriate management
Contact payers to verify claim status via phone or web and follow up on unpaid claims
Process appeals on aged insurance claims/denials
Ability to analyze, identify and resolve issues which may cause payer payment delays
Identify and resolve claim edits through understanding of billing guidelines and payer requirements
Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
Review all EOBs for correct payment, deductible, adjustments, and denials
Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
Reconcile account balances, and verify payments are applied correctly
Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
Follow up on appeals/corrected submitted claims
Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
Review and audit customer service account inquiries
Receive inbound/outbound customer service call
Perform internal recovery calls and manage well aged self-pay accounts
Provide excellent customer service to all patients, Insurances & Facilities
Review and correct all rejections in clearing house
Perform all other related duties as assigned
Qualifications:
Medical billing experience preferred, but not
Ambulance billing experience (preferred)
Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
Proficient in CPT and ICD-10 coding
Ambulance/Medical billing certification or diploma preferred
Certified Ambulance Coder (CAC) certification within 30 days of employment (company sponsored)
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.
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