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Medical Billing and Coding Specialist in Holyoke, MA at Accounting Now

Date Posted: 2/5/2018

Job Snapshot

Job Description



SNI Companies has partnered with a rapidly growing outpatient medical office in their search for a Medical Billing and Coding Specialist. This immediate position is a temporary to hire.
The ideal candidate will have the following:
Responsibilities:
  • Review applicable clinical documentation to ensure all appropriate procedures are being billed for.
  • Attend internal audit reviews to weigh-in with coding knowledge.
  • Data entry which includes entering charges as well as payment posted, as directed by Billing management.
  • End of day clean up including: clearing out the claim center, both unbilled and exclusions tab, bypassing claim inspector, running the claim submission wizard
  • Train, as directed by Billing management.
  • Work outstanding insurance AR by following up on denials.
  • Maintain appropriate aging amounts as specified by Billing management.
  • Patient billing including: payment plans, printing/mailing bills, phone calls, unapplied transactions, etc.
  • Continued education re: billing rules and regulations.
  • High billing team interaction; ability to effectively work within a team environment.
  • Other responsibilities, as requested by Billing Team Leaders.

Coding Process Oversight:
  • Coding, Audits, Data Entry, appealing AR, claim center, and event tracking.

Requirements:
  • Medical coding process expertise demonstrated by 1-3 years medical coding and billing experience
  • Experience and ability to Level Evaluation and Management Codes
  • Experience with reviewing clinical documentation for audit reviews
  • Medical billing process expertise
  • Knowledge of insurance company process
  • Knowledge of Microsoft Office products
  • Basic Typing skills
  • Federal and state privacy laws understanding as they relate to patient billing
  • Experience with medical billing software
  • Experience with resolving slow and nonpayment issues