The Medical Biller and Coder is responsible for a range of billing processes including clean claim submission, claim scrubbing and rejection management. Responsible for accurate charge entry and timely billing to insurance carriers. Must be flexible and able to multitask in a fast paced setting.
Primary job functions include preparing, reviewing and transmitting claims using billing software; timely and accurate submission of claims; preparing and submitting pre-authorizations; understanding denials and taking appropriate action; knowledge of insurance regulations and guidelines; ensuring accuracy and completeness of payer requirements and policies prior to submission; using reports to follow up on unbilled claims and billing delays; identifying and resolving problems or trending issues.
Preferred qualifications include Certified Coder credential, 2+ years of claims data entry and processing experience, advanced knowledge of CMS 1500 form, EOB interpretation, CPT, HCPCS and ICD-10 codes, insurance billing, collections, and terminology. Sleep Medicine experience is strongly preferred. Customer service experience and ability to work independently are required.
Key performance indicators:
- Charges posted within 48 hours from date of service
- Rejected status claims resolved within 24 hours
- All charges posted before month end closing
- 2+ years of prior medical billing experience
- ICD-10 experience: 3 years required
- High school diploma (or equivalent) required; college preferred
- Advanced knowledge of medical billing codes and insurance processes
- Customer service skills
- Ability to work independently
- Certification as Coder preferred
- Knowledge of sleep medicine preferred but not required
- 401(k) retirement plan
- Paid time off
Location
Atlanta, Georgia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago