Metro Inclusive Health
Medical Billing and Coding Specialist
Metro Inclusive Health, St. Petersburg, Florida, United States, 33739
Statement of Purpose
Medical Billing and Coding Specialist role at Metro Inclusive Health. This position is accountable for all steps in the billing process including processing medical claim information through data-entry in the EMR, researching and correcting data entry errors using eClinicalWorks. The role uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information. The position is in a primary care and behavioral health social service setting with specialized LGBTQ+ care and services. Excellent benefits and sign on bonus.
Primary Tasks / Responsibilities
Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
Submitting claims for services rendered to insurance companies
Verifying patients’ insurance coverage
Working directly with the insurance company, the patient, and clinic staff to get claims processed and paid
Reviewing and appealing denied and unpaid claims
Monitoring and updating patient AR balances
Scrubbing of claims
Tracking and updating the Aging Report, and working patient accounts for accuracy.
Answering questions patients may have about billing
Reviewing patient bills for accuracy and completeness and obtain any missing information
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment
Must be able to commute to the administrative office in St. Petersburg, FL for training
Education / Professional
Certification as a Professional Coder preferred
Minimum of 2 years of experience as a certified coder in primary care and behavioral health setting highly preferred
Experience working with multiple third party payers including Medicaid, Medicare, Managed Care, HMO/PPOs
Knowledge, Skills And Competencies Required
Strong knowledge of and able to easily navigate Medicaid, Medicare, HMOs, and private payer systems
Knowledge of EMR systems, preferably with eClinicalWorks
Microsoft suite and data systems proficiency, including Electronic Medical Records
Ability to effectively communicate both written and verbally
Ability to effectively utilize problem-solving and decision-making techniques
Ability to make effective judgments and decisions based on objective criteria
Attentive to detail and strong organizational skills
Ability to tactfully interact with diverse personalities
High comfort working in a busy environment with changing priorities
Requirements
Must possess and maintain valid Florida driver’s license and proof of insurance
Must have reliable and accessible auto vehicle
Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U.S. Department of Homeland Security’s E-Verify system
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Medical Practices
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Primary Tasks / Responsibilities
Translating medical procedures into codes that can be translated by payers, other medical coders, and other medical facilities
Review claims data to ensure that assigned codes meet required legal and insurance rules, and that required signatures and authorizations are in place prior to submission
Submitting claims for services rendered to insurance companies
Verifying patients’ insurance coverage
Working directly with the insurance company, the patient, and clinic staff to get claims processed and paid
Reviewing and appealing denied and unpaid claims
Monitoring and updating patient AR balances
Scrubbing of claims
Tracking and updating the Aging Report, and working patient accounts for accuracy.
Answering questions patients may have about billing
Reviewing patient bills for accuracy and completeness and obtain any missing information
Handling collections and unpaid accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients if or when there is a lapse in payment
Must be able to commute to the administrative office in St. Petersburg, FL for training
Education / Professional
Certification as a Professional Coder preferred
Minimum of 2 years of experience as a certified coder in primary care and behavioral health setting highly preferred
Experience working with multiple third party payers including Medicaid, Medicare, Managed Care, HMO/PPOs
Knowledge, Skills And Competencies Required
Strong knowledge of and able to easily navigate Medicaid, Medicare, HMOs, and private payer systems
Knowledge of EMR systems, preferably with eClinicalWorks
Microsoft suite and data systems proficiency, including Electronic Medical Records
Ability to effectively communicate both written and verbally
Ability to effectively utilize problem-solving and decision-making techniques
Ability to make effective judgments and decisions based on objective criteria
Attentive to detail and strong organizational skills
Ability to tactfully interact with diverse personalities
High comfort working in a busy environment with changing priorities
Requirements
Must possess and maintain valid Florida driver’s license and proof of insurance
Must have reliable and accessible auto vehicle
Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U.S. Department of Homeland Security’s E-Verify system
Seniority level Entry level
Employment type Full-time
Job function Health Care Provider
Industries Medical Practices
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