Chiropractic Health Partners
Medical Billing and Coding Specialist
Chiropractic Health Partners, Tampa, Florida, us, 33646
Medical Billing and Coding Specialist
Chiropractic Health Partners (CHP) is a Management Services Organization (MSO) that acquires and grows chiropractic practices. The Medical Billing and Coding Specialist supports multiple chiropractic practice brands, focusing on billing and coding accuracy.
Job Overview Reporting to the Billing Manager, this role is a key member of the billing team, responsible for managing payer and personal injury claims, claim submissions, denials, patient accounts, and coding compliance.
Responsibilities
Handle billing of payer and personal injury claims for Commercial, Managed Care, Medicaid, or Medicare.
Prepare and submit patient claims to all health insurance payors and personal injury attorneys.
Assist the billing team with claim submissions, denials, and rejections management, patient accounts, and related administrative duties.
Ensure appropriate codes are assigned and medical documentation is complete.
Obtain and follow up on prior authorizations.
Review and confirm billing documentation, including authorizations and certificates of medical necessity.
Post charges and reconcile EOBs for payments.
Work with insurance aging reports, denials/rejections, and resubmit claims, ensuring coordination of benefits, medical necessity, and coding accuracy.
Reconcile open accounts to establish patient responsibility.
Respond to patient phone calls regarding coverage questions.
Manage medical records and document requests from attorneys.
Assign appropriate medical codes and ensure compliance with coding guidelines.
Review patient medical records for accuracy and collaborate with providers.
Assist in resolving any coding-related denials or discrepancies.
Characteristics and Behaviors for Success
Results‑oriented, collaborative style achieving team goals.
Ability to tackle complex business problems, adapt, and manage change in a fast environment.
Strong attention to detail and accuracy in data entry and documentation.
Qualifications
5 years of billing and coding experience in a physician office setting.
Strong knowledge of CPT, HCPCS, ICD‑10, Medicare, commercial insurance policies, and claim denial reasons.
AAPC billing and/or coding certification preferred.
Experience with personal injury claims an plus.
Overall proficiency with revenue cycle workflows.
Willingness to travel to CHP affiliate practice locations as needed.
Equal Opportunity Employer Chiropractic Health Partners MSO LLC is an equal opportunity employer that values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#J-18808-Ljbffr
Job Overview Reporting to the Billing Manager, this role is a key member of the billing team, responsible for managing payer and personal injury claims, claim submissions, denials, patient accounts, and coding compliance.
Responsibilities
Handle billing of payer and personal injury claims for Commercial, Managed Care, Medicaid, or Medicare.
Prepare and submit patient claims to all health insurance payors and personal injury attorneys.
Assist the billing team with claim submissions, denials, and rejections management, patient accounts, and related administrative duties.
Ensure appropriate codes are assigned and medical documentation is complete.
Obtain and follow up on prior authorizations.
Review and confirm billing documentation, including authorizations and certificates of medical necessity.
Post charges and reconcile EOBs for payments.
Work with insurance aging reports, denials/rejections, and resubmit claims, ensuring coordination of benefits, medical necessity, and coding accuracy.
Reconcile open accounts to establish patient responsibility.
Respond to patient phone calls regarding coverage questions.
Manage medical records and document requests from attorneys.
Assign appropriate medical codes and ensure compliance with coding guidelines.
Review patient medical records for accuracy and collaborate with providers.
Assist in resolving any coding-related denials or discrepancies.
Characteristics and Behaviors for Success
Results‑oriented, collaborative style achieving team goals.
Ability to tackle complex business problems, adapt, and manage change in a fast environment.
Strong attention to detail and accuracy in data entry and documentation.
Qualifications
5 years of billing and coding experience in a physician office setting.
Strong knowledge of CPT, HCPCS, ICD‑10, Medicare, commercial insurance policies, and claim denial reasons.
AAPC billing and/or coding certification preferred.
Experience with personal injury claims an plus.
Overall proficiency with revenue cycle workflows.
Willingness to travel to CHP affiliate practice locations as needed.
Equal Opportunity Employer Chiropractic Health Partners MSO LLC is an equal opportunity employer that values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#J-18808-Ljbffr