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Medical Billing - Coding

Soul Focus Wellness Center

Medical Billing - Coding

Eatontown, NJ
Full Time
Paid
  • Responsibilities

    We offer medical services with a multi-disciplined and certifiably trained staff. Our team of medical professionals works together to provide the best healthcare possible. We are looking for a highly motivated individual looking to bring their experience of medical billing and coding to our team. Responsibilities: • Responsible for reviewing the physician’s coding to ensure accuracy, timely payments, and maximize revenue. • Resolves outstanding accounts utilizing applications and websites as tools to retrieve claims status, medical documentation, and billing guidelines to substantiate corrected claim submissions and written appeals. • File appeals and corrected claims with supporting documentation to insurance carriers electronically, on paper, and by phone. • Ensures denial reviews, and claim follow-ups are conducted in a timely manner and in accordance with payer timely filing limits. • A/R management • Print and process secondary payer claims as needed. • Support and assist colleagues • Works on billing projects assigned by management • Review of Medical Records for Insurance submission and resolution. • Converse with patients regarding coordination of insurance benefit denials. Qualifications: • Candidate is motivated, dependable, ethical, team oriented, energetic, and reliable • Knowledgeable of Medicare's rules and regulations. • Knowledge of CPT and ICD-10–CM coding • Proficiency with Navinet and other payer websites for eligibility verification and claims. • Knowledge of Modifiers and usage • Extensive out of network experience • 2+ years experience in Medical Billing • ACCOUNTS RECEIVABLE: 1-2 years • Experienced with Pain Management and Orthopedic billing • Administrative Writing Skills, Microsoft Office Skills, Organization, analyzing information, Professionalism, and Problem Solving • Experienced with verifications, authorizations, appeals, and compliance • HIPAA trained and compliant Compensation: $40,000 - $50,000 yearly

    • Responsible for reviewing the physician’s coding to ensure accuracy, timely payments, and maximize revenue. • Resolves outstanding accounts utilizing applications and websites as tools to retrieve claims status, medical documentation, and billing guidelines to substantiate corrected claim submissions and written appeals. • File appeals and corrected claims with supporting documentation to insurance carriers electronically, on paper, and by phone. • Ensures denial reviews, and claim follow-ups are conducted in a timely manner and in accordance with payer timely filing limits. • A/R management • Print and process secondary payer claims as needed. • Support and assist colleagues • Works on billing projects assigned by management • Review of Medical Records for Insurance submission and resolution. • Converse with patients regarding coordination of insurance benefit denials.