Medical Billing and Coding Specialist

Prophylaxis HealthCare
Bixby, OK Full Time
POSTED ON 4/22/2024

We are looking for a certified coder to join our team! We currently have 4 people in the billing department and need to add one more person to help with the overflow.

Check out our website for more info on our company: axishealth.net

Job Duties for Medical Biller

  • Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.
  • Updating billing software with rate changes.
  • Updating cash spreadsheets, and running collection reports.

. Basic requirements:

  • A high school diploma
  • Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
  • A minimum of one to three years of experience in a medical office setting.

Knowledge, Skills, and Abilities

Proficiency in the following areas is preferred:

  • Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Competent use of computer systems, software, and 10 key calculators.
  • Familiarity with CPT and ICD-10 Coding.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
  • A calm manner and patience working with either patients or insurers during this process.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
  • Ability to multitask.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off

Schedule:

  • Monday to Friday

Application Question(s):

  • When is your soonest start date?
  • Why are you qualified for this position?
  • What is your expectation of pay?

Experience:

  • coding: 1 year (Preferred)
  • Insurance verification: 1 year (Preferred)

Work Location: In person

Salary.com Estimation for Medical Billing and Coding Specialist in Bixby, OK
$39,424 to $46,794
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