Woundlocal
Woundlocal Billing Team Member
Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team to service the mobile wound care practice Woundlocal. Hiring: a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes. Manager Responsibilities: Direct peers on work queues, assignments and priorities Culture leader and attention to team dynamic Coordinate internal training and third party strategic learning sessions Provide accurate answers to queries from providers, management, and internal staff. Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions. Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers. Analyzes aging accounts receivables and lost client revenue, provides recommended actions. Liaison to third-party billing company while also building an internal team. Grow a culture of excellence, integrity, and collaboration. Greater responsibilities are available should the candidate experience match the responsibilities. Duties, responsibilities, and compensation will be adjusted to the individual hire's experience level and expertise. Daily Competency: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding rules and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes happen. Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits. Reviews provider charts for completion and following practice standards. Performs some of the insurance benefits verifications with in network and out of network payers. Analyzes claims rejections and initiates appeals if applicable. Start Date: Immediate Job Type: Full-time Pay: comp package $30.00 - $50.00 per hour, based on experience Work Location: In person, either Boerne or Austin office (no remote work)
Freenet Health Corp. is a healthcare management services company that works exclusively for telehealth and mobile practice providers, including medical billing services. Freenet Health Corp is now hiring a billing team to service the mobile wound care practice Woundlocal. Hiring: a clinical back certified medical billing professional with extensive experience in Medicare billing and commercial and federal insurance benefits verification. Must be able to perform, train, and oversee verifying patient benefits, reviewing provider documentation, provide real-time feedback to the medical team, ensure timely submission to payers, review claim denials, submit appeals, and bill secondary insurance. All claims are made for advanced wound care services and allograft skin substitutes. Manager Responsibilities: Direct peers on work queues, assignments and priorities Culture leader and attention to team dynamic Coordinate internal training and third party strategic learning sessions Provide accurate answers to queries from providers, management, and internal staff. Identifies internal process problems, researches where they are occurring, and provides recommendations for solutions. Manages expert remote coder to ensure properly assigned difficult codes and/or complex coding scenarios using modifiers. Analyzes aging accounts receivables and lost client revenue, provides recommended actions. Liaison to third-party billing company while also building an internal team. Grow a culture of excellence, integrity, and collaboration. Greater responsibilities are available should the candidate experience match the responsibilities. Duties, responsibilities, and compensation will be adjusted to the individual hire's experience level and expertise. Daily Competency: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding rules and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes happen. Accurate classification of wound care and graft encounters in skilled nursing facilities, long term acute care, home health, hospice, assisted and independent living, and home visits. Reviews provider charts for completion and following practice standards. Performs some of the insurance benefits verifications with in network and out of network payers. Analyzes claims rejections and initiates appeals if applicable. Start Date: Immediate Job Type: Full-time Pay: comp package $30.00 - $50.00 per hour, based on experience Work Location: In person, either Boerne or Austin office (no remote work)