- 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
-
Coding Specialist
1 day ago
Jobot Aurora, CO, United States Full timeOption to work a 9/80 schedule or be remote on Mondays/Fridays · This Jobot Job is hosted by: Jessica Davis · My client is a wonderful transportation based organization in Colorado. · Excellent benefits that include medical, dental, vision, long term disability, flexible spend ...
-
Certified Professional Coder/cpc
3 weeks ago
Progressive Spine & Orthopaedics, LLC Englewood, United States**JOB TITLE**:Certified Professional Coder · **NOTE: Must be CPC Certified via AAPC** · **SUMMARY**:The Certified Professional Coder at Progressive Spine & Orthopaedics plays a crucial role in ensuring accurate and timely processing of medical bills. Responsibilities include revi ...
-
Code Compliance Specialist I/II
3 weeks ago
Boulder County Boulder, United StatesEnforcing Boulder County's Land Use Code and associated regulations. Serving as a liaison to the public providing zoning information and guiding residents through code compliance requirements. Conducting site investigations for zoning, building, and Compliance Specialist, Complia ...
-
Rn Stroke and Sepsis Coordinator
6 days ago
HCA Florida Englewood Hospital Englewood, United States**Introduction**: · Do you have the career opportunities as a(an) Stroke and Sepsis Coordinator Registered Nurse you want in your current role? We invest in what matters most to nurses like you - at home, at work, and at every stage in your career. We have an exciting opportunity ...
-
Senior Financial Advisor
1 week ago
Empower Littleton, United States Full timeGrow your career with a growing organization · Whether they're helping people reach their long-term financial goals or providing personal wealth management strategies, every associate contributes to changing the lives of those we serve for the better. When it comes to job satisfa ...
-
Code Compliance Specialist I/II
2 weeks ago
Boulder County, CO Boulder, United States· Boulder County Community Planning and Permitting Department (CPP) is seeking to hire a Code Compliance Specialist I/II.The Boulder County Land Use Department has an opening for a Land Use Code Compliance Specialist I or Code Compliance Specialist II. The individual hired will ...
-
Service Center Coordinator
1 week ago
Littleton Hospital Association Littleton, United States**Position Summary**: The LRH Service Center employee will be responsible for functions within the areas of phone reception, patient scheduling, incoming and outgoing referral coordination. Each member of the Service Center will have assigned areas of responsibility, which may ro ...
-
Data Base Programmer/Analyst
1 week ago
Novalink Solutions LLC Denver, United StatesOverview: We are looking for a highly experienced Data Specialist with hands-on experience in SQL (ideally MS Sql Server/Google Big Query), Data Warehousing, and designing and writing code for ETL processes in Python. · Primary Responsibilities: · Refine Data Warehouse Model. · ...
-
Database Programmer/Analyst
1 week ago
Tri-Force Consulting Services, Inc. Denver, United StatesTitle: Database Programmer/Analyst · Duration: 6 Months · Location: Denver, Colorado · Note: Hybrid role · "Candidate must be local" · Job description: · We are looking for a highly experienced Data Specialist with hands-on experience in SQL (ideally MS Sql Server/Google Big Que ...
-
Reporting & Accounting Process Specialist I
3 weeks ago
INEOS Styrolution America LLC Aurora, United States**Job Opportunity** · **Reporting & Accounting Process Specialist I** · **Aurora, Illinois** United States (US)* · **INEOS Styrolution America LLC** · **We Have Great Chemistry** · We believe diversity is perceiving difference; inclusion is valuing it. Without inclusion, we canno ...
-
Patient Services Representative Bilingual
2 weeks ago
VNA Health Care Aurora, United StatesJob Code: · PSR- Location: · - Aurora, Illinois- FT/PT Status: · - Regular Full Time**Description**: · - Employee performs accurate registration as well as clerical and record keeping duties to assist in the creation of high functioning, patient-focused clinic operation. Must be ...
-
Patient Services/scheduling Representative
1 week ago
VNA Health Care Aurora, United StatesJob Code: · PSR- Location: · - Aurora, Illinois- FT/PT Status: · - Regular Full Time**Description**: · - Employee performs accurate registration, walk in and telephone scheduling functions, including demographic and visit screening registration procedures, as well as clerical and ...
-
Medical Billing A/r Specialist
4 days ago
AIclaim Aurora, United States**Hiring Immediately** · **Medical Biller/ AR Specialist** · **Your job responsibilities as a Medical A/R Specialist at AIclaim will include**: · - Managing a portfolio of clients to reduce outstanding A/R and aging · - Reviewing and supervising billing processes handled by a par ...
-
Manufacturing Documents Specialist
3 weeks ago
Accupac Lakewood, United States**Manufacturing Documents Specialist, Full-Time** · **Basic Job Functions**: · Assigns, prints, and reviews all documents associated with batch production, has errors corrected, and reports findings to appropriate departments. This activity includes adherence to Accupac, Inc.'s S ...
-
Construction Specialist
17 hours ago
Palo Alto Alvarado Concepts Englewood, United StatesPosition Mission: · As a Construction and Drywall Specialist, you will play a vital role in supporting construction projects by performing various manual tasks and assisting skilled workers. Your physical strength, attention to detail, and ability to follow instructions will cont ...
-
Accounts Receivable Specialist
2 weeks ago
Creative Financial Staffing Englewood, United StatesOur client, a construction company located in Englewood, is seeking a full-time Accounts Receivable Specialist to become part of our growing business. · In this role, you will be a key member of the local team and will work with the accounting team at corporate Headquarters. · ...
-
Full-Stack Engineer
3 weeks ago
Titan Ventures West Point, United StatesAre you looking for a new challenge and software development is your passion? Do you always keep both the frontend and backend in mind? · Then you've come to the right place. · CPU Consulting & Software GmbH has been a successful IT service provider in the banking sector for over ...
-
Part-time Accounts Payable Specialist
2 weeks ago
Creative Financial Staffing Englewood, United States Part timeGrowing non-profit organization located in the Denver Tech Center is looking to add a sharp Part-time Accounts Payable Specialist to their team · The Part-time Accounts Payable Specialist will work within an accounting team of 8 and report to the Controller. · The Part-time Acc ...
-
Medical Office Specialist
6 days ago
HCA Englewood, United StatesHourly Wage Estimate: $ $25.59 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of ...
-
Medical Office Specialist
6 days ago
HCA Englewood, United StatesHourly Wage Estimate: $ $25.59 / hour · Learn more about the benefits offered for this job. · The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of ...
CPC Certified Billing and Coding Specialist - Englewood, United States - Progressive Spine and Orthopaedics, LLC
2 weeks ago
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.
PI1d73e5de