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Claims and Coding Representative
We are looking for an individual who has experience in medical billing, coding and claims processing, is detail-orientated with excellent verbal, written communication along with time management skills. The successful candidate enjoys and can work in a fast-paced environment.
Job Duties:
- A Working knowledge of medical billing and coding utilizing CPT , ICD -10 and HCPCS
- Working knowledge of medical terminology
- Knowledge of CMS documentation and billing regulations
- Ability to efficiently operate computer software for Electronic Health Record, Practice Management Systems, and Clearinghouses
- Ability to evaluate payer denials for appropriateness and take necessary steps for resolution
- Ability to review payer denials and take appropriate action for resolution
- Ability to maintain confidentiality.
- Interpersonal/human relations skills
- Verbal and written communication skills
- Ability to manage multiple tasks
- Shows initiative and enjoys working as a team in a fast-paced environment with strong attention to details.
Experience
- Medical Claim billing and/or denial resolution experience
- Experience working denied/rejected claims due to modifier, CPT, ICD-10, payer policy or a combination these
- Excellent organizational and time management skills and the ability to multi-task and to prioritize work
- Attention to detail and problem solving skills
- Possess excellent written, grammar and communication skills
- Possess excellent computer skills, including experience with MS Word, Excel and Outlook
- Good attendance and punctuality
- Possess the ability to read and interpret an electronic claim files
- Possess the ability to read and interpret electronic rejections and/or payer rejections
- Possess excellent follow-up skills ensuring timely follow up
- Respond timely to inquiries
- Ability to maintain strict confidentiality of information at all times
- High school diploma or equivalent
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