Medical Billing and Coding Associate
The Execu|Search GroupNew York, New Yorkjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionMust have 2-3 years of Medical Billing experience Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation Proficient in CPT and ICD-10 coding Excellent organizational skills and the ability to multitask in a fast-paced environment Ambulance billing experience Ambulance / medical billing certification or diploma Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC)
Responsibilities
The Medical Billing and Coding Associate will :
- Partner with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
- Contact payers to verify claim status via phone or web and follow up on unpaid claims
- Process appeals on aged insurance claims / denials
- Identify and resolve claim edits through understanding of billing guidelines and payer requirements
- Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
- Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
- Review all EOBs for correct payment, deductible, adjustments, and denials
- Reconcile account balances, and verify payments are applied correctly
- Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
- Follow up on appeals / corrected submitted claims
- Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
- Review and audit customer service account inquiries
- Receive inbound / outbound customer service call
- Review and correct all rejections in clearing house
- Perform all other related duties as assigned
Qualifications :
Desired Skills :
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Medical Billing Associate • New York, New York