1,333 Medical Coders jobs in the United States
Medical Coders

Posted 6 days ago
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Job Description
BroadPath is immediately hiring **Medical Coders** to join our remote team. Our work at home Medical Coders will be responsible for accurately coding insurance claims into the database system, ensuring compliance with all regulatory requirements and facilitating seamless claims processing.
**Responsibilities**
+ Follow up with providers as necessary
+ Coordinate with internal departments and vendors
+ Ensure timely completion of medical record request to meet departmental goals and CMS deadlines
+ Supports quality improvement interventions by collecting medical records data
+ Data extraction, financial reconciliation, and analytics
+ Participate in discussions with respect to ongoing projects
+ Production and presentation of results to senior leaders
+ Perform ad hoc analysis for multiple product lines
+ Multi-tasking, ability to manage at macro level and dig deep into issues for successful resolution
**Qualifications**
**Must have a valid Medical Coder certification from AHIMA or AAPC:**
+ Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), and Risk Adjustment Coding (RAC)
+ Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Risk Adjustment Coder (CRC), Certified Inpatient Coder (CIC)
**Required Qualifications**
+ Minimum 2 years' experience in Medical Claims Coding
+ Expert knowledge of Medicare severity adjustment processes and tools
+ Claims code editing applications, e.g., Optum CES, ClaimsXten, etc
+ Professional billing claims, professional/institutional claims
+ Knowledge of industry standard coding rules, e.g., NCCI, AMA
+ Cultivate internal and external business relationships that will serve as resources of technical knowledge and performance improvement.
**Preferred Qualifications**
+ Recent experience preferred (within last year)
+ Experience with multiple vendors and/or health plans
**Diversity Statement**
_At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!_
_Equal Employment Opportunity/Disability/Veterans_
_If you need accommodation due to a disability, please email us at This information will be held in confidence and used only to determine an appropriate accommodation for the application process_
_BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law._
_Compensation: BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location._
Medical Coders (I, II, III)
Posted 2 days ago
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Job Description
Medical Coder (Levels: I, II, III) Department: Healthcare/Medical Coding Location: REMOTE (Work from Home) Role Type: 1 year Contract-to-Hire About Our Client Our client provides professional, technology, and management services to federal and state agencies. They deliver healthcare-related solutions and place a strong emphasis on the value of their employees, recognizing them as integral to both organizational and client success. Job Description We are seeking Medical Coders I, II, and III to support the Defense Health Agency (DHA). These positions are full-time, fully remote, and require certified medical coding professionals with at least 1 year of experience. • Medical Coder I : Outpatient primary care (professional and institutional components) • Medical Coder II: Outpatient specialty clinics, day surgeries, emergency room, observation services (professional and institutional components) •Medical Coder III: Inpatient facility coding - Medicare Severity Diagnosis Related Group (MS-DRG) Coders will review documentation, assign appropriate codes, and ensure coding standards are met. Work will be performed in the Military Health System (MHS) Genesis system. Duties and Responsibilities •Review documentation to identify and resolve inconsistencies, ambiguities, or discrepancies. •Assign accurate E&M, CPT, HCPCS, ICD-CM, and where applicable ICD-10-PCS codes. •Apply correct use of modifiers and units of service. •Utilize the MHS Genesis system to access and code patient records. •Maintain required productivity and accuracy standards (97% minimum). •Perform additional reasonable duties as assigned by supervisors or management. Required Experience/Skills •Minimum 1 year of medical coding experience. •One or more active coding certifications from AAPC or AHIMA:•AAPC: CPC, CEMC, CIC, COC •AHIMA: RHIA, RHIT, CCS-P, CCS •NAMAS: CEMA Preferred Experience/Skills •Department of Defense (DoD) or Veterans Administration coding experience. •Familiarity with MHS Genesis medical coding. Education •Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR •University certificate in medical coding; OR •Completion of an Armed Forces/U.S. Maritime Service medical training program (beyond apprentice level). Pay & Benefits Summary •Hourly base rate + Health & Welfare. •11 paid federal holidays. •Paid vacation and sick leave. •Company-provided all-in-one computer and 27" monitor. •Online coding clinics. •Flexible work schedules (up to 40 hours per week). •100% Remote. Ready to take your career to the next level? *Connect with your Catapult Recruiter: Kailyn Hartley, directly at * Medical Coder I | Medical Coder II | Medical Coder III | CPC | RHIA | RHIT | CCS-P | CIC | COC | ICD-10 | CPT | HCPCS | DoD Medical Coding | MHS Genesis | Remote
Lead, HIM Medical Coders Coder (ECH) *
Posted 7 days ago
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Job Description
A Brief OverviewLeads the maintenance of medical records and medical information including charting, coding and abstracting diagnoses, treatments and other information from patient records. Ensures that systems for acquiring, analyzing, storing, retrieving and release of information is provided in an orderly manner when needed. In conjunction with LTACH leadership, assists in the development of policies and procedures in compliance with Federal, State and local government, CMS, and/or state rules/guidelines, medical bylaws, administrative, ethical and other legal regulations and requirements.What you will doApprises Administrator of all activities, pertinent changes in internal/external market, threats, and opportunities in a timely and anticipatory manner and presents action plans for immediate implementation/approval.Leads functions and practices of Medical Records including chart completion, tumor registry, coding, record retention/retrieval, transcription and release of Information to ensure that they conform with applicable accrediting, regulatory, licensing, and risk management standards and in compliance with organizational policies, bylaws, and procedures. * Recommends and implements policies, procedures and guidelines to provide accurate and current medical records and health information which meet the needs of health care consumers, providers and organization. * Leads inpatient operations to ensure medical records are processed, completed and maintained as required. * Leads activities related to the accurate and timely coding of diagnoses and procedures, DRG assignments and abstracted data elements from the medical records into the clinical database. * Oversees various office functions within the department to maintain activities related to reviewing delayed billing accounts (bill filter), reconciliation of patient visits and medical records. * Participates in appropriate committees (i.e. Medical Record, Revenue Cycle, Leadership Institute) in the formulation of the broadly defined medical record and health information management work policies and procedures. * Supports initiatives designed to improve the quality of Medical Records services. Facilitates interdisciplinary team process and problem solving. * Ensures compliance with organizational, regulatory and accreditation requirements.Ensures the confidentiality of medical record information to protect individual rights to privacy in the collection and disclosure of identifiable medical information.Leads the timely transmittal of medical information to Finance and the Business Office to support the processing of patient claims, supports the development of new controls with various payment sources, and provides statistics that aid in assessing the hospital's financial position.Leads the development of systems for analyzing, monitoring and reporting Medical Records services to meet objectives and regulatory requirements. * Ensures optimum use of computer application and data base systems to the functions of the Medical Records Department. Identifies and communicates with Information Technology Department or external Application Specialist to enhance the hospital's information operations. * Plans, evaluates and interprets statistical and narrative analytical reports of department services relative to hospital needs. * Leads the maintenance of records and the preparation of reports. * Makes recommendations or changes as needed to improve services and efficiency in operations/processes.Consults and/or works collaboratively with other disciplines, participates in the plan, design, and evaluation of health information systems, ensuring the integration of all records, indexes, and reports which relate to the professional care of patients. * Coordinates activities with other departments/areas such as Registration, Patient Financial Services, Nursing and Medical Staff. * Participates in Performance Improvement Programs to effect change, enhance delivery of services and problem solve within the organization. * Participates in risk management activities. * Assists Medical staff and provides records for research, studies, and specific case review.Maintains responsibility for quality indicators within department. Coordination of plans and programs are implemented with medical staff, hospital resources, nursing and other personnel. * Meets or exceeds all joint commission standards for areas of responsibility. Performs audits and participates in joint commission mock inspections of medical records. * Collects data on medical record deficiencies and assisting physicians in making corrections. * Reporting QA findings to the Medical Record Function Committee at monthly intervals. * Prepares and reports QA findings on functions within the department. * Prepares and monitors other patient medical record problem areas and continue until resolved. * Assures that departmental monthly reports are received and that specific findings, conclusions, actions, recommendations, and follow-up activities are reported.Leads the organization's record management and retention program. Ensures that the legal statue of limitations for retention has been met prior to the destruction of recordsKeeps abreast of current trends and developments in Health Information Management. Maintains clinical competence commensurate to areas of responsibility. Completes required continuous training and education, including department specific requirements.Utilizes manual and automated systems to improve efficiency and effect productivity.Maintains an operational knowledge of all hospital and divisional policies and procedures.Coordinates and integrates medical records' activities within Division and other departments to maximize overall effectiveness of the department.To model The Long-Term Acute Care Hospital's mission and values at all times.QualificationsBachelor's Degree In Health Information Management or Medical Records Administration Required andCurrent registration by the American Health Information Management Association Upon Hire RequiredMinimum 5 years experience of related experience RequiredLead or supervisory experience PreferredPhysical DemandsStanding - OccasionallyWalking - OccasionallySitting - ConstantlyLifting - RarelyCarrying - RarelyPushing - RarelyPulling - RarelyClimbing - RarelyBalancing - RarelyStooping - RarelyKneeling - RarelyCrouching - RarelyCrawling - RarelyReaching - RarelyHandling - OccasionallyGrasping - OccasionallyFeeling - RarelyTalking - ConstantlyHearing - ConstantlyRepetitive Motions - FrequentlyEye/Hand/Foot Coordination - FrequentlyRegional One Health is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities
Medical Billers And Insurance Coders
Posted 25 days ago
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Job Description
We are seeking experienced Medical Billers and Insurance Coders to join our team at Medalogix LLC. In this role, you will be responsible for accurately coding and billing medical claims to ensure timely reimbursement from insurance companies. If you have a strong attention to detail and a background in medical billing, we want to hear from you!
Responsibilities:- Review and analyze medical records to assign appropriate codes for diagnoses and procedures
- Submit claims to insurance companies and follow up on unpaid or rejected claims
- Verify patient insurance coverage and eligibility for services
- Communicate with healthcare providers to obtain additional information or clarification on coding issues
- Maintain accurate and up-to-date records of billing and coding activities
- Minimum of 2 years of experience in medical billing and coding
- Certification in medical coding (e.g. CPC, CCS) preferred
- Knowledge of medical terminology, anatomy, and physiology
- Familiarity with insurance billing procedures and regulations
- Strong attention to detail and accuracy
- Excellent communication and organizational skills
If you are looking to advance your career in medical billing and coding, apply now to join our team at Medalogix LLC!
Company Details
Medical Billers And Insurance Coders - Training Pr
Posted 15 days ago
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Job Description
We are seeking experienced Medical Billers and Insurance Coders to join our team at Siemens Healthcare. The ideal candidates will be responsible for accurately coding and billing medical services, ensuring timely reimbursement from insurance companies. If you have a strong attention to detail and a passion for healthcare, we want to hear from you!
Responsibilities:- Review and analyze medical records to assign appropriate codes for billing
- Submit claims to insurance companies and follow up on outstanding payments
- Verify patient insurance coverage and eligibility
- Resolve billing discrepancies and denials
- Maintain accurate and up-to-date billing records
- Minimum of 2 years of experience in medical billing and coding
- Certification in Medical Billing and Coding preferred
- Proficiency in medical billing software and electronic health records systems
- Strong understanding of medical terminology and coding guidelines
- Excellent communication and organizational skills
If you are looking for a challenging and rewarding opportunity in the healthcare industry, apply now to join Siemens Healthcare as a Medical Biller and Insurance Coder!
Company Details
Medical Billers And Insurance Coders - Training Pr
Posted 17 days ago
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Job Description
Description
Eye Homes, Inc is looking for a detail-oriented Medical Biller to join our team. In this role, you will be responsible for ensuring accurate and timely billing of medical claims for our clients. You will work closely with healthcare providers, insurance companies, and patients to resolve billing issues and discrepancies. Your expertise in medical billing codes, insurance regulations, and claims processing will be vital to facilitate smooth operations and enhance client satisfaction. We are seeking a proactive individual who possesses strong analytical skills and an eye for detail to manage the billing process efficiently. If you have a passion for healthcare billing and a desire to work in a collaborative environment, we invite you to apply and contribute to our mission at Eye Homes, Inc.
- Review and process medical billing claims accurately and in a timely manner.
- Verify patient insurance coverage and obtain necessary authorizations for services.
- Collaborate with healthcare providers to resolve discrepancies in billing information.
- Handle patient inquiries regarding billing statements and provide excellent customer service.
- Follow up on unpaid or denied claims with insurance companies to ensure timely payment.
- Maintain accurate records of billing activities and updates in the system.
- Stay informed about changes in medical billing regulations and coding practices.
Requirements
- High school diploma or equivalent; additional certification in medical billing preferred.
- Proven experience as a Medical Biller or in a related role.
- Familiarity with medical billing software and electronic health record (EHR) systems.
- Strong understanding of medical terminology, billing codes, and insurance processes.
- Excellent attention to detail and organizational skills.
- Strong communication skills to interact effectively with patients and providers.
- Ability to work independently and manage multiple billing tasks accurately.
Company Details
Medical Billing
Posted 4 days ago
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Job Description
Job Description
We are seeking a detail-oriented medical biller/AR specialist to manage and resolve insurance claims within the musculoskeletal (MSK) health space. The role involves working collaboratively in a dynamic environment, contributing to transformative healthcare solutions.
Responsibilities
+ Investigate and resolve denied insurance claims.
+ Manage claims across all aging categories, including posting payments, submitting appeals, and handling Additional Documentation Requests (ADRs).
+ Identify overdue accounts and take appropriate steps to collect outstanding balances.
+ Document all follow-up actions promptly and accurately.
+ Coordinate and submit necessary medical records for appeals.
+ Communicate clearly with insurance companies to ensure accurate billing and patient information.
+ Prepare weekly status updates for management review.
+ Support general billing tasks such as submitting insurance claims, posting payments, managing patient accounts, and reviewing statements.
+ Perform other duties as assigned.
Essential Skills
+ Experience in accounts receivable and medical billing.
+ Proficiency in Microsoft Office and Excel.
+ EHR system experience.
+ Strong understanding of insurance processes, medical billing, terminology, and benefits.
+ Experience with both commercial and non-commercial payors in billing and accounts receivable.
Additional Skills & Qualifications
+ High school diploma required; 2 years of relevant experience required.
+ Orthopedic billing experience is a plus.
+ Experience in orthopedic or physical therapy is advantageous.
+ Proficient in data entry, reconciliation, invoicing, and collection.
+ Excellent verbal and written communication skills.
+ Strong interpersonal skills with the ability to build relationships and collaborate effectively.
+ Proven ability to manage multiple priorities in a fast-paced environment.
+ Professional demeanor and polished presentation.
Work Environment
The position is located on-site in Bethesda and requires attendance five days a week. Working hours are flexible between 8am-5pm or 7am-4pm. The company promotes a collaborative and innovative environment, with an emphasis on continuing education, leadership training, and career development. Employees benefit from a culture that values innovation, collaboration, and lifelong learning. medical
Pay and Benefits
The pay range for this position is $ - $ /yr.
Medical InsuranceDental InsuranceVision InsuranceSupplemental InsuranceFlexible Spending Accounts (FSA)Life & Disability InsuranceContinuing Education Assistance
Workplace Type
This is a fully onsite position in Bethesda,MD.
Application Deadline
This position is anticipated to close on Sep 12, 2025.
About Aston Carter:
Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email (% ) for other accommodation options.
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Medical Billing Coding Specialist
Posted today
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Job Description
Job Description
MEDICAL BILLING CODING SPECIALIST
We encourage Military Veterans and Military Spouses to apply
SITE OF SERVICE:
DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification : Must have one of the following certifications:
· Registered Health Information Administrator (RHIA)
· Registered Health Information Technician (RHIT)
· Certified Coding Specialist (CCS)
· Certified Coding Assistant (CCA)
· Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
· Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
· Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:
o Medicare Inpatient Prospective Payment System
o Medicare Outpatient Prospective Payment System
o Medicare Ambulatory Surgical Center Payment Rates
o Medicare Part B Physician Fee Schedule
o Medicare Anesthesia Physician Services
o Medicare Clinical Laboratory Fee Schedule
o Medicare Drugs and Biological Payment Amounts
· Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.
· Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.
· Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
· Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.
· Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
· Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
MEDICAL BILLING CODING SPECIALIST
SITE OF SERVICE:
DOJ (Department of Justice Prison) – Butner, NC (Onsite at DOJ)
Federal Correctional Complex (FCC) located in Butner, North Carolina at Old NC Highway 75, Butner, NC 27509.
QUALIFICATIONS:
Experience: Possess 2 years of experience in a healthcare or insurance environment
Certification : Must have one of the following certifications:
· Registered Health Information Administrator (RHIA)
· Registered Health Information Technician (RHIT)
· Certified Coding Specialist (CCS)
· Certified Coding Assistant (CCA)
· Certified Professional Coder (CPC)
CORE RESPONSIBILITIES:
· Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. Proficient in database software.
· Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to:
· Medicare Inpatient Prospective Payment System
· Medicare Outpatient Prospective Payment System
· Medicare Ambulatory Surgical Center Payment Rates
· Medicare Part B Physician Fee Schedule
· Medicare Anesthesia Physician Services
· Medicare Clinical Laboratory Fee Schedule
· Medicare Drugs and Biological Payment Amounts
· Utilizing automated records of ingress and egress for each facility at the FCC, the contractor shall verify time worked for other contract staff providing services at the FCC.
· Utilizing Medicare National Correct Coding Initiative (NCCI) coding principles, the selected applicant shall verify that invoices for medical care to inmates provided by contracted medical services providers are coded appropriately based upon the care documented in the inmates’ medical records.
· Utilizing Medicare Part A and Part B payment regulations and payment recommendations from a third party adjudicator, the selected applicant shall verify that invoices for the provision of medical care to inmates which have been determined to have been properly coded are also billed appropriately in accordance with the contracted terms and conditions of the contract under which the medical services were provided.
· Utilizing contracted rates provided by the Government, the selected applicant shall verify that invoices for services performed at the FCC by other contracted medical services providers are accurately billed based upon the inclusion of approved/verified time sheets, the application of correct unit prices to the number of hours billed, and the overall total calculation.
· Utilizing knowledge of Medicare coding and billing standards and procedures, selected applicant shall investigate all inconsistencies in invoices identified by third party adjudicator.
· Other duties will include, but are not limited to filing, composing memoranda, maintaining suspense files, data entry, and preparation of cost analysis, financial obligations reconciliations, budget and expenditures tracking.
HOURS:
The work schedule will be 30 hours per week, Monday through Friday, excluding federal holidays. The schedule will include a ½ hour unpaid lunch break.
SPECIAL REQUIREMENTS/SKILL
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer.
Links:
To learn more about LUKE, please visit our website at:
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Medical Billing and Coding Specialist
Posted 103 days ago
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Job Description
CPC certification (preferred)
Experienced (at least one year)
Healthcare
Two-year degree
Duties
Handling insurance claims accurately and efficiently.Determining which codes end up on a patient’s bill for third-party billing purposes.Properly coding services, procedures, diagnoses, and treatments.Preparing and sending invoices or claims for payment.Correcting rejected claims.Tracking payments.Reviewing clinical documentation to extract and translate billable information into medical codes.This Company Describes Its Culture as:
Detail-oriented -- quality and precision-focusedPeople-oriented -- supportive and fairness-focusedTeam-oriented -- cooperative and collaborativeSchedule:
Monday to FridayDay shiftJob Type: Full-time
Benefits:
401(k)Dental insuranceHealth insuranceLife insurancePaid time offVision insuranceExperience:
healthcare billing: 1 year (Required)Billing: 1 year (Required)Education:
Associate (Preferred)Work Location: In person
Benefits
Pulled from the full job description
· 401(k)
· Dental insurance
· Health insurance
· Life insurance
· Paid time off
· Vision insurance
RequirementsDuties
Handling insurance claims accurately and efficiently.Determining which codes end up on a patient’s bill for third-party billing purposes.Properly coding services, procedures, diagnoses, and treatments.Preparing and sending invoices or claims for payment.Correcting rejected claims.Tracking payments.Reviewing clinical documentation to extract and translate billable information into medical codes.BenefitsBenefits
Pulled from the full job description
· 401(k)
· Dental insurance
· Health insurance
· Life insurance
· Paid time off
· Vision insurance
Medical Billing, Receptionist
Posted 4 days ago
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Job Description
Job Description Job Opening: Patient Accounts Representative/Accounts Receivable
We are seeking a skilled and detail-oriented Patient Accounts Representative/Accounts Receivable professional to join our team. The ideal candidate should possess the following qualifications and be proficient in the responsibilities outlined below:
Key Responsibilities:-
Insurance Knowledge:
- Demonstrate a solid working knowledge of insurance processes, including deductibles, out-of-pockets, and copays.
-
Payment Posting:
- Accurately record payments received from patients and insurance companies in the billing system.
- Apply payments to the appropriate patient accounts to ensure precise financial records.
-
Account Reconciliation:
- Conduct regular reviews of patient accounts to identify discrepancies, errors, or unpaid balances.
- Investigate and promptly resolve any account discrepancies to maintain accurate financial records.
-
Customer Service:
- Interact with patients and their families to address billing inquiries.
- Provide clear explanations of charges and assist in establishing suitable payment arrangements.
-
Collections:
- Initiate collection efforts for past-due accounts, adhering to ethical practices.
- Contact patients to discuss payment options and negotiate payment plans if necessary.
-
Documentation:
- Maintain detailed and accurate records of all interactions and transactions related to patient accounts.
- Ensure comprehensive documentation of payment arrangements and billing communications.
-
Compliance:
- Ensure strict compliance with healthcare billing regulations, including but not limited to HIPAA.
- Adhere to other relevant guidelines to maintain legal and ethical billing practices.
-
Reporting:
- Generate regular reports on accounts receivable status, collections efforts, and billing performance for management review.
- Provide insights and recommendations based on the analysis of financial reports.
- Medical Insurance
- Paid Leave
- Holidays
- 401k
- Short Term Disability
- Previous experience in a similar role within healthcare finance or billing.
- Strong understanding of insurance processes and healthcare billing regulations.
- Excellent communication and negotiation skills.
- Proficient in relevant software applications for billing and financial record-keeping.
If you are a dedicated and experienced Accounts Receivable professional with a passion for ensuring accurate financial transactions in a healthcare setting, we encourage you to apply.