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Site Billing Specialist - Remote

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Arizona (USA), United States

Offer summary

Qualifications:

2-3 years billing experience in a physician's practice, Good communication skills with physicians and patients, Preferred: coding experience with CPC, CCS, RHIT, or RHIA certification.

Key responsabilities:

Maintain productivity and accuracy metrics
Abstract data for proper coding of procedures
Review insurance denials to determine actions
Research information needed for the billing process
Remain compliant with all HOPCo policies and other duties assigned

Healthcare Outcomes Performance Co. (HOPCo) Large https://hopco.com/

1001 - 5000 Employees

See more Healthcare Outcomes Performance Co. (HOPCo) offers

Job description

Benefits:

Competitive Health & Welfare Benefits
HSA with qualifying HDHP plans with company match
401k plan after 1 month of service with company match (Part-time employees included)
Employee Assistance Program that is available 24/7 to provide support
Employee Wellness Events

Minimum Qualifications:

Minimum two to three years of billing experience in a physician's practice.
Minimum two to three years of billing experience in a physician's practice.
Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.

Preferred:

Prefer prior coding experience with CPC, CCS, RHIT, or RHIA Certification.

Essential Functions

Maintains productivity and accuracy metrics per department expectations.
Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers.
Reviews insurance denials and rejections to determine the next appropriate action steps and obtain the necessary information to resolve any outstanding denials/rejections.
Updates and confirms as necessary to allow processing of claims to insurance plans.
Researches all information needed to complete the billing process including obtaining information from providers, ancillary services staff, and patients.
Attaches referrals/authorizations to appointments/charges if available.
Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals.
Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance.
Councils patients face to face when patients have questions or concerns regarding outstanding balances.
Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines.
Completes daily requests and works through obstacles on account balance to ensure maximum reimbursement.
Identifies and communicates trends and/or potential issues to the management team.
Follows and maintains all HOPCo policies and procedures, including those specific to billing.
Other duties as assigned by leadership.

About us:

The Center for Orthopedic Research and Education, We don't mean to brag but did you know The CORE Institute has been ranked by Ranking Arizona: The Best of Arizona Businesses!?