ESSENTIAL JOB FUNCTIONS

Posting patient and insurance payments. Review and decipher explanation of benefits from multiple carrier contracts. Perform reviews accurately and efficiently within time requirements as specified and performs accurate data entry of required review-specific information. Evaluate submitted information and review claims to determine accuracy of coding. Render appropriate decisions based on the information received using the established criteria; and clearly and concisely document the rationale for all decisions rendered. Ability to determine appropriate insurance benefits for all insurance types.

OTHER JOB FUNCTIONS

Work in close collaboration with other team members to support the development of new projects and the continuous improvement of the overall work of the team. Promote core values of teamwork, professionalism, effective communication skills and positive attitude. Maintain security and confidentiality of all information in accordance with HIPAA laws, regulations, and company policies. Demonstrate compliance with corporate and departmental policies as evidenced by attendance, punctuality, and professional appearance. Performs other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

Working knowledge of ICD-10-CM and CPT codes preferred. Strong problem-solving skills. Strong organizational skills with ability to demonstrate the work priorities. Demonstrate ability to perform work with considerable independence by use of creative thinking, thorough analysis of problems, and use of innovative approaches to problem resolution. Willingness and ability to be flexible. Ability to cope with and adapt to change. Knowledge and general use of computers and Microsoft Office. Ability to type 30-50 words per minute (WPM) and data entry skills. Excellent interpersonal, written, and verbal skills required.

EDUCATION, EXPERIENCE, AND TRAINING A

minimum of 2 year of experience, however, we are willing to train exceptional candidates Previous medical coding and/or billing experience preferred

Job Type:

Full-time Pay:

$18.00 - $30.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Employee discount Health insurance Life insurance Paid time off Vision insurance

Work Location:

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