Billing and Coding Associate Job Opening

May 11, 2019

Billing and Coding Associate Job Opening

This is an excellent opportunity to work with one of the finest Freestanding Emergency Centers in Texas.

Altus Emergency Center in Lumberton is currently seeking to fill the position of: Billing and Coding Associate. Please review the following job requirements and submit your resume to ERjobs@altusemergency.com.

Billing and Coding Associate Requirements and Responsibilities

Coding

Reviews all documentation to ensure coding by provider is supported
Apply all coding rules and use of CPT and ICD codes and appropriate use of modifiers
Assign and sequence all codes for services rendered
Where providers have made errors or missed coding, use as educational tool for the provider(s)
Contact physicians and other health care professionals about treatment and/or diagnostic tests given to patients with regard to coding procedures
Assist in educating physicians and staff in requirements of documentation for proper reimbursement.
Assists all staff with coding as required
Constant review and recommends updates on coding changes
Assists in conducting internal audits of patient charges and corresponding documentation.

Billing:

Submit claims and work rejects for claims submission, daily
Check for data errors.
Determine problem that resulted in a rejected claim, resolve, advise on procedural changes to implement and prevent further such rejects.
Resubmit/refile and appeal rejected claims, as is necessary.
Check coding and post charges
Adhere to contractual requirements of Medicare, Medicaid, and any in network managed care plans
Ability to process and understand out of network claims
Scrub and submit claims
Run daily update and insurance exception reports
Review and correct, re-scrub rejected claims

Accounts Receivable and patient statements:

Runs A/R report
Works accounts receivable
Prepare patient statements

Collections:

Patient collections
Responsible for follow-up on unpaid claims and process of sending patients to collections as per office policy.
Work collection of past due accounts weekly, follow-up on payment arrangements

OTHER DUTIES

Assist patients with questions regarding insurance and/or account balances
Work with patients who have insurance claim difficulties.
Assist with pulling and filing of patient charts
Works Revenue Cycle Director to provide information necessary to generate financial statements and to accomplish fiscal audits and reimbursement studies.

PERSONAL QUALITIES AND CHARACTERISTICS

Ability to communicate well with people both in personal contacts and on the phone.
Professional, friendly appearance
Good organizational skills
High accuracy and precision.
Methodical.
Pays attention to detail
Ability to recognize, evaluate, solve problems and correct errors.
Skills in establishing and maintaining effective working relationships with other employees, patients, insurance carriers and the public.
Ability to maintain patient and office confidentiality.
Verbal & written communication skills
Skill to effectively negotiate with patients, guarantors & other parties for payment of claims
Effective interpersonal skills
Ability to work independently with only general supervision
Problem solving skills