We are seeking a detail-oriented and energetic Medical Coder and Biller to join a dynamic healthcare team. This role is responsible for insurance billing, claim follow-up, payment reconciliation, denial review, and prior authorization support for the insurance department.
Key duties include:
- Reviewing medical records to ensure all information required for insurance reimbursement is present
- Verifying correct insurance coding to support prompt payment
- Entering billing information and transmitting claims electronically to insurance carriers
- Consulting with claim clerks regarding disputed claims and following up on unpaid claims
- Reviewing remittance advice forms and making billing adjustments as needed
- Authorizing or correcting medical bills to resolve errors
- Preparing weekly and monthly insurance billing reports for the Controller's office
- Attending training and annual in-services to stay current on insurance billing procedures, fire safety, and HIPAA compliance
- Balancing insurance payments and adjustments against remittance advice
- Working aging claims and tracking claim status
- Reevaluating denied claims for payment
- Handling prior authorizations and verifying claimant benefits
Requirements & Qualifications
Required skills and qualifications:
- Excellent verbal communication skills
- Ability to discuss billing matters with medical staff, patients, and insurance staff in person, by computer, and by phone
- Ability to maintain confidentiality and integrity when handling medical information
- Compliance with HIPAA laws
- Strong attention to detail
- Ability to recognize time-sensitive material
- Two years of experience in clerical or office support work and/or post-secondary education in English, spelling, keyboarding, computers, business, or office practices
- High school diploma or GED
Benefits & Perks
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Location
Ohio, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago