**Experienced Full Stack Medical Coding and Billing Specialist – Remote Opportunity for a Dynamic Team Member**

About Our Organization

We are a leading healthcare organization dedicated to delivering exceptional medical services to our patients. Our mission is to provide high-quality care, foster a supportive work environment, and promote professional growth and development for our team members. We are committed to staying at the forefront of medical advancements, leveraging cutting-edge technology, and adhering to the highest standards of patient care and confidentiality.

Job Overview

We are seeking an experienced and detail-oriented Medical Coding and Billing Specialist to join our esteemed medical billing department on a full-time remote basis. As a key member of our team, you will play a vital role in ensuring the accuracy and completeness of patient bills, managing intricate medical data, and maintaining compliance with established regulations and guidelines. If you possess a strong passion for medical coding and billing, excellent communication skills, and a commitment to delivering exceptional results, we encourage you to apply for this exciting opportunity.

Key Responsibilities

• Conduct thorough reviews of patient bills to ensure accuracy and completeness while obtaining any necessary information for correct billing.
• Prepare, scrutinize, and electronically transmit claims using advanced billing software, encompassing both electronic and paper claim processes.
• Proactively follow up on outstanding claims within standard billing cycles, verifying insurance payments to ensure compliance with established contract discounts.
• Liaise with insurance providers to resolve payment discrepancies as necessary.
• Identify and bill secondary or tertiary insurers as applicable.
• Review accounts to facilitate patient follow-up related to insurance inquiries.
• Investigate and appeal denied claims effectively.
• Address inquiries from patients and insurance companies regarding assigned accounts.
• Establish patient payment plans and manage accounts related to collections.
• Update billing software to reflect necessary rate changes.
• Ensure adherence to insurance compliance and uphold HIPAA guidelines to protect patient confidentiality.
• Utilize medical classification software to accurately assign procedure and diagnosis codes for billing purposes.
• Collaborate with healthcare professionals to resolve discrepancies in medical documentation and coding.
• Generate and present detailed reports on billing activities and financial statuses for senior management review.

Required Skills

• Expertise in medical billing and coding methodologies.
• Familiarity with eClinicalWorks software is a significant benefit.
• Comprehensive knowledge of healthcare regulations and HIPAA compliance.
• Strong capability to research and appeal denied claims effectively.
• Exceptional attention to detail combined with strong organizational skills.
• Proficient communication skills for effective interaction with patients and insurance representatives.

Qualifications

• Availability for full-time commitment.
• A minimum of two years of experience in medical billing and coding is required.
• AACP certification is mandatory.
• ICD-10 coding certification is mandatory.
• CPT coding certification is mandatory.

Career Growth Opportunities

Joining our organization presents an excellent opportunity for skill enhancement in medical billing and coding, facilitating your professional growth and career advancement. Our team is committed to supporting your development, providing ongoing training, and promoting a culture of continuous learning and improvement.

Company Culture And Values

We are proud to cultivate a supportive and collaborative work environment, where team members unite towards a common goal in the healthcare sector. We encourage diversity and inclusivity, aligning with our mission to deliver exceptional healthcare services. Our organization values integrity, compassion, and excellence, and we strive to create a workplace that is both challenging and rewarding.

Compensation And Benefits

We offer a competitive salary, paid time off (PTO), paid holidays, and a collaborative work environment that fosters professional development. Our benefits package is designed to support your well-being, provide opportunities for growth, and recognize your contributions to our organization.

How to Apply

If you are eager to join our mission and make a significant impact in the healthcare domain, we invite you to apply today! Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today and take the first step towards a rewarding career with our organization.

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