Billing and Coding Associate

Job Description

REQUIREMENTS

• Official High School Transcripts, Diploma or Equivalency Certificate
• Ability to navigate between different tabs and systems on the computer while attending phone calls.
• CPB or other Medical Billing Certification desired, but not required.
• CPC or Medical Coding Certification desired, but not required.

Preferred Skills

• Strong Attention to Detail
• Ability to Multitask
• General Understanding of Insurance Terminology
• Ability to Communicate Clearly with Patients and Staff

RESPONSIBILITIES

• Collects, posts, and manages patient account payments.
• Prepares and reviews patient statements.
• Imports and balances EFT’s.
• Identifies and corrects rejected claims.
• Reviews delinquent accounts and contacts for collection purposes.
• Verifies patients’ insurance coverage.
• Answer questions regarding billing and insurance policies.
• Process payments from insurance companies.
• Follows up to see if a claim is accepted or denied.
• Reviews and appeals unpaid and denied claims accordingly.
• Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately.
• Obtains precertification, if required, for specific procedures.
• Investigates insurance fraud and reports if found.

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