Posted: Dec 31, 2025
About the position Responsibilities • Code claims according to coding and billing guidelines. • Bill claims in accordance with payor guidelines. • Investigate payer-rejected claims to determine reason for denial and work to obtain resolution. • Prioritize and work HOLD an MGR HOLD buckets. • Verify patient insurance coverage and eligibility. • Update patient records with accurate insurance information. • Manage accounts receivable and follow up on overdue payments. • Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes. • Support the revenue cycle by ensuring claims are dropped within 2 days of the current date. • Assist in general administrative tasks as needed. • Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead. • Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards. • Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations. • Perform other duties as required. Requirements • Solid understanding of billing software and electronic medical records. • Prefer experience with Athena system. • Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing. • Understanding of HIPAA regulations and medical terminology. • High school diploma required. • Experience with Excel required. • 1 or more years' experience as an outpatient coder. • Minimum of 3 years' experience with claims billing. Nice-to-haves • Demonstrated interest in working with an underserved population. Benefits • 401(k) • 401(k) matching • Dental insurance • Employee assistance program • Health insurance • Paid time off • Tuition reimbursement • Vision insurance Apply tot his job
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