A Medical Claims Processor or Representative reviews and processes medical insurance claims and determines whether an insurance policy will cover a medical procedure. Gathers information from policy holders and organizes insurance files; may process checks with payments to policy holders when a medical claim is approved.
Ear, Nose & Throat Consultants (ENTC), with locations in Oakland, Wayne, and Macomb Counties, is excited to announce an opportunity for a Medical Biller/Coder who is looking for a full-time position, Monday - Friday. If you are a Medical Billing & Coding Specialist who has the desire to grow with a rapidly growing practice offering stability and job security, you are highly encouraged to apply to this posting.
About us:
Ear, Nose & Throat Consultants (ENTC) has been in practice for almost 50 years and is highly regarded in the medical community. Our office stays up-to-date with the latest in surgical and medical treatment(s) and equipment for a state of the art facility.
Duties/Responsibilities:
Review and analyze medical records and patient information to ensure accurate coding and billing. Prepare and submit claims to insurance companies for reimbursement. Follow up on unpaid claims and resolve any billing discrepancies or denials. Maintain patient records and ensure confidentiality of sensitive information. Collaborate with healthcare providers to clarify documentation and ensure accurate coding. Comply with specific guidelines for all carriers, Medicaid, Medicare and third-party reimbursement policies, regulations, and accreditation guidelines. Reviewing, revising, and working rejections and resubmitting claims. Submission of secondary claims upon processing of primary insurance.
Required Skills/Abilities:
3-5 years of Billing, Coding, and collections of claims in a healthcare setting. Certification in medical billing and coding (e.g., CPC, CCS) preferred, would consider recent graduate with CPC certification Proficiency in medical terminology Strong organizational skills with solid problem-solving skills. Proficient computer skills and EMR. Knowledge of CPT and ICD-10 coding guidelines and updates. Experience with medical billing software and electronic health record (EHR) systems. Working knowledge of coding, billing, and collection of claims with strong attention to detail and accuracy. Excellent communication skills to interact with healthcare providers, insurance companies, and patients. Ability to prioritize tasks, meet deadlines, and work independently or as part of a team.
