Care Center Coding & Billing Specialist - Remote

Overview

The Coding and Billing Specialist (Care Center Biller) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized.

In Short

• Work directly with physicians and practice administrators on a daily basis to ensure optimal revenue cycle functionality
• Understand and explain various health plan options and requirements
• Understand and work with revenue cycle from point of scheduling to processing of claims
• Work back end edits and denials and submit corrected claims and appeals
• Create claims and work front-end edits and denials in EHR system, Athena
• Review provider documentation and code for services as necessary to ensure proper charge capture
• Query providers as necessary regarding any questions that may arise in relation to the documentation provided
• Work with other team members to ensure that all of the team’s assigned work is completed correctly and in a timely manner

Requirements

• Education: High School Graduate
• Experience: 3+ years experience in a medical billing office
• Charge entry experience required
• Preference for experience with athenaHealth’s suite of tools
• Strong preference for coding experience and knowledge of CCI edits
• CPC or CPC-A preferred
• Must comply with all HIPAA rules and regulations

Benefits

• Medical, dental, vision, life, and pet insurance
• 401K
• Paid time off
• Wellness programs
• Annual bonus targeted at 10%