Work experience or education not included on the application will not be considered. Include all work experience and education to receive appropriate credit.

Minimum qualifications: High school graduation and a minimum of two years related office experience with billing and credentialing, or equivalent education and experience.

Required certification: Certified Professional Coder (CPC) from AAPC, Certified Coding Specialist (CCS) from AHIMA, or CH-CBS. Combination of certification and experience considered.

Key responsibilities:

Execute all billing and credentialing for AppWell clinic facilities.
Prepare, review, and submit claims to insurance companies for reimbursement.
Post all payments received via mail, ACH, or virtual; front desk posts in-person payments.
Monitor claim status, follow up on unpaid claims, and appeal denied claims.
Calculate patient responsibility, send statements, and respond to billing inquiries.
Adhere to HIPAA regulations and legal/payer requirements.
Provide front desk backup support as needed.
Train and mentor student interns and assistants.
Perform insurance provider enrollment and credentialing setup and maintenance.
Update CAQH Provider Profiles.
Ensure proper assignment of billing codes and stay current with billing codes and procedures.
Balance end-of-day payments and track payments from various sources.
Obtain prior authorizations for allied health provider services.

Preferred qualifications:

Proficiency in ICD-10-CM, CPT, and HCPCS coding.
Familiarity with Electronic Health Records (EHR) and medical billing software.
Strong attention to detail and communication skills.
Understanding of medical terminology, anatomy, and physiology.

Work schedule: Monday-Friday, 8:00am to 5:00pm, 40 hours per week, 11 months per year.

Salary: $30.67 per hour, pay commensurate with experience and qualifications.

Billing Specialist