Medical Biller/Coder
Job Description
$18-25 an hour
\nJob Summary
\nOur Hematology-Oncology practice is seeking a detail-oriented and knowledgeable full-time Medical Biller to add to our growing Billing Team. The ideal candidate will have, at least, 1-2 years of hands-on experience in the field. Hematology/Oncology/Infusion billing experience is STRONGLY PREFERRED.
\nResponsibilities
\nPreparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
\nReviews Hematology/Oncology patient medical records and abstracts medical data to accurately capture all diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems.
\nEvaluate medical documentation and determine accurate E/M levels
\nEnsures that CPT and ICD-10 codes are aligned so that there will be no question as to the relationship between diagnosis and treatment, and the claim will be reimbursed.
\nEnsures that professional services are captured and coded in compliance with federal regulations and insurance requirements
\nAssesses encounter documentation using Center for Medicare and Medicaid Services (CMS) documentation standards. Based on the provider's documentation, identify possible documentation changes that would more accurately account for services provided if implemented. Presents findings to management and works to resolve the issue.
\nFollow all regulations and guidelines set by Medicare, state programs, and HMO/PPO
\nCorrectly enters coding information into CureMD’s electronic medical record system.
\nEnsure patient information is accurate and complete
\nIdentifying and billing secondary or tertiary insurances.
\nRequest any missing patient information
\nReview referrals and authorizations
\nTransfer insurance claims and billing data to billing software
\nAbility to create both paper and electronic copies of documentation
\nRespond to questions and complaints from patients or insurance companies
\nUpdate and review all accounts to keep records of payments up to date
\nWork with personal information and maintain patient confidentiality
\nObtaining referrals and pre-authorizations as required for procedures.
\nChecking eligibility and benefits verification for treatments and procedures.
\nReviewing patient bills for accuracy and completeness and obtaining any missing information.
\nFollowing up on unpaid claims within standard billing cycle timeframe.
\nCalling insurance companies regarding any discrepancy in payments if necessary
\nResearching and appealing denied claims.
\nAnswering all patient or insurance telephone inquiries pertaining to assigned accounts.
\nKeeps up to date on billing/coding rules, including the annual update of CPT-4 and ICD-10 codes.
\nMaintains CEU’s needed for certification.
\nRequirements
\nCertification REQUIRED: AAPC or AHIHMA - CPB, CPC, CHONC
\n1-2 years of hands-on medical billing experience in a medical office or healthcare setting
\nHematology/Oncology/Infusion billing experience is STRONGLY PREFERRED
\n1-2 years of hands-on experience using medical billing software and electronic health record systems
\nAble to multitask, prioritize, and manage time efficiently
\nSelf-motivated and self-directed; able to work without supervision
\nExcellent verbal and written communication skills
\nProficient computer skills, Microsoft Excel.
\nStrong customer service skills and comfortable answering both patient and insurance company questions
\nAble to analyze problems and strategize for better solutions
\nNote: This job description is not intended to be all-inclusive. The employee may perform other related duties as assigned to meet the organization's ongoing needs.
\nJob Type: Full-time
\nEducation:
\nBachelor's (Preferred)
\nExperience:
\n- \n
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Medical billing: 1 year (Preferred)
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*****Ability to Commute: Howard Beach, NY 11414
\nWork Location: HYBRID
