We are seeking experienced billing and coding specialists to work with our dermatology clients. Preferred candidates will have experience with EZ Derm and/or EMA (Modmed) and a minimum of 2 years of medical billing experience.
Responsibilities:
- Post insurance and patient payments
- Review claims prior to submission to insurance carriers
- Verify and review patient information, insurance IDs, diagnosis and treatment codes, modifiers, and provider information to ensure completeness and accuracy
- Submit insurance claims to clearinghouses or individual insurance companies electronically or via paper CMS-1500 forms
- Prepare and submit secondary claims as needed after primary insurer processing
- Address claim denials and manage accounts receivables using available payer resources
- Respond to patient inquiries about payment responsibilities, copays, deductibles, write-offs, and resolve complaints or explain coverage issues
- Prepare and mail patient statements for charges not covered by insurance on a regular basis
- Work with patients to establish payment plans for past due accounts in accordance with provider policies
- Perform "soft" collections for past due patient accounts
- Adhere to HIPAA guidelines in handling patient information
- Understand specialty authorizations and coverage limits, such as the number of visits
- Occasionally verify patient benefits eligibility and coverage
- Follow standard billing procedures, including CPT and ICD-10 coding rules and guidelines, and deductible/co-insurance determination
- Familiarity with commercial payers’ claim processes and the fundamentals of coding
Qualifications:
- CPC or CPB certification preferred
- Bilingual skills are a plus
Job Type: Full-time
Pay: $16.00 - $22.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Experience:
- Medical billing: 1 year (Preferred)
Work Location: In person