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CodeMax Medical Billing

CodeMax provides comprehensive behavioral health billing, medical coding, and revenue cycle management (RCM) services tailored for mental health and substance abuse providers. With over 20 years of experience, they focus on reducing claim denials and expediting payments through user-friendly software and expert support. CodeMax aims to simplify the billing process, allowing healthcare providers to concentrate on patient care while maximizing their financial success.

<div>Job Summary:
This vital role involves direct interaction with insurance companies to verify patient eligibility and benefits coverage. The successful candidate will be instrumental in ensuring the accuracy and efficiency of our billing processes.
Duties/Responsibilities:<ul><li>
Contacts insurance companies via phone to verify patient eligibility and benefits.</li><li>
Analyzes and interprets insurance coverage information for accuracy.</li><li>
Documents and updates patient records with verified information.</li><li>
Collaborate with other team members to resolve discrepancies in patient insurance information.</li><li>
Provides support to the billing department by ensuring accurate eligibility information is available for claims processing.</li><li>
All other duties assigned by the department supervisor and/or management team.</li></ul>
Required Skills/Abilities:<ul><li>
Excellent communication and interpersonal skills.</li><li>
Strong organizational and time-management abilities.</li><li>
Proficiency in healthcare billing software and Microsoft Office Suite.</li><li>
Ability to work independently and as part of a team.</li><li>
Exceptional attention to detail.</li><li>
Proven ability to multitask effectively.</li><li>
Comfortable with extended periods of phone communication.</li><li>
A strong sense of urgency and commitment to timely task completion.</li></ul>
Education and Experience:<ul><li>
High school diploma or equivalent required.</li><li>
Basic understanding of ICD-10 and CPT codes to accurately interpret patient diagnoses and procedures when verifying benefits</li><li>
Knowledge of HIPAA and other healthcare industry regulations.</li><li>
Proficiency with electronic health records (EHR) systems and insurance verification platforms.</li></ul></div>

Verification of Benefits Specialist

<div>Reports to: Claims Supervisor
Employment Status: Full-Time
FLSA Status: Non-Exempt
Work Location: On-site - Fort Lauderdale, FL
Job Summary:
To ensure a timely and accurate collection of medical claims. The Claims Specialist will work closely with insurance companies to rectify payment denials, settle disputes, and receive due reimbursements. The ideal candidate will possess strong communication skills, a deep understanding of medical billing and coding, and the determination to resolve outstanding claims.
Duties/Responsibilities:<ul><li>
Reviews and work on unpaid claims, identifying and rectifying billing issues.</li><li>
Communicate with insurance companies regarding any discrepancy in payments if necessary.</li><li>
Conducts research and appeals denied claims timely.</li><li>
Reviews Explanation of Benefits (EOBs) to determine denials or partial payment reasons.</li><li>
Provides detailed notes on actions taken and the next steps for unpaid claims.</li><li>
Collaborate with the billing team to ensure accurate claim submission.</li><li>
Maintains a comprehensive understanding of the insurance follow-up process, payer guidelines, and compliance requirements.</li><li>
Resubmits claims with necessary corrections or supporting documentation when needed.</li><li>
Tracks and documents trends related to denials and work towards a resolution with the billing team.</li><li>
Assist patients with inquiries related to their insurance claims, providing clear and accurate information.</li><li>
All other duties assigned by the department supervisor and/or management team.</li></ul>
Required Skills/Abilities:<ul><li>
Proficiency in healthcare billing software.</li><li>
Strong analytical, organizational, and multitasking skills.</li><li>
Excellent verbal and written communication abilities.</li><li>
Ability to navigate payer websites and use online resources to resolve outstanding claims.</li></ul>
Education and Experience:<ul><li>
High school diploma or equivalent required.</li><li>
Prior experience in medical billing collections or a similar role.</li><li>
Knowledge of medical terminology, CPT and ICD-10 coding is a plus.</li><li>
Knowledge of HIPAA and other healthcare industry regulations.</li></ul>
Benefits<ul><li>
Health Insurance</li><li>
Vision Insurance</li><li>
Dental Insurance</li><li>
401(k) plan with matching contributions</li></ul>
CodeMax is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
CodeMax is a participating employer in the federal E-Verify program.</div>

Claims Follow-Up Specialist

Join CodeMax Medical Billing and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

CodeMax Medical Billing

About Company

Verification of Benefits Specialist

Claims Follow-Up Specialist