Medical Biller and Coder - Fort Myers, United States - Advanced Orthopedics & Sports Medicine of SWFL
4 days ago
Description
Job Description:
Medical Biller and Coder, Orthopedics
Job Summary:
This individual is responsible for all aspects of the revenue medical billing cycle including claim submission, appeals, collections, and analytics
- Individual must: have strong attention to detail and problem solving skills; be organized, selfmotivated, and able to multitask; work independently but also work well as a team; have strong oral and communication skills; have the ability to adapt well to changes with their daily responsibilities
- Individual will need to provide their own transportation to and from work
Responsibilities:
- Data entry and patient demographics verification
- Ensure authorizations are obtained as necessary for upcoming appointments, surgeries, and therapy
- Handle payment posting and charge entry for physical therapy and physician charges
- Submit electronic and paper claims to insurance companies
- Daily reconciliation of billing and reimbursements
- Ensure that all coding is compliant with current coding guidelines and regulations
- Read and understand all explanation of benefits, and process as necessary
- Understand appeals
- Manage denials and claims resubmission
- Remedy any previously approved insurance claim that has subsequently been denied
- Oversee collection process
- Manage account receivables over 0, 30, 60, and 90 days, seeing that overdue accounts are addressed by following up with all insurances and patient balances
- Initiate and respond to telephone inquiries.
- Assist patients with questions regarding insurance and/or account balances.
- Handle patient complaints regarding billing in a timely and consistent manner
- Coordinate all patient and insurance refunds
- Analyze AR for trends in denials to identify issues that impact AR adjudication
- Good communication skills with patients is a must
Experience:
- Experienced and accomplished in the entire medical revenue billing cycle
- A full understanding of healthcare billing and collections, with the ability to effectively communicate with patients and payers
- Proven experience as a Medical Biller or in a similar role.
- 2 year minimum in medical billing and coding.
- Good computer skills
- Working knowledge of medical billing software and EHR
- Allscripts used in house
- Strong knowledge of medical terminology and anatomy
- Excellent knowledge of Medicare rules and regulations and CPT and ICD10 coding
- Understanding of private insurance rules and regulations
- Cash inflow and bad debt issues
- Customer service experience
- Orthopedic experience preferred.
- Strong attention to detail and accuracy in coding and billing processes.
- Excellent communication skills to effectively interact with insurance companies, patients, and healthcare providers.
- Ability to work independently and meet deadlines in a fastpaced environment.
Note:
Certification in medical coding (e.g., CPC) is preferred but not required.
This is an excellent opportunity for a detail-oriented individual with strong coding skills to join our team as an Orthopedic Medical Biller.
Benefits:
- 401(k)
- Health insurance
- Paid time off
Schedule:
- Monday to Friday
Experience:
- ICD10: 2 years (preferred)
Work Location:
In person
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