Certified Coder/Biller for Medical Office Benefit Specialist

Midland Women's Clinic; Midland (TX); Sur place; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Retirement Plan

Paid Holidays

Spanish speaking a plus

OB/GYN billing experience Preferred

Résumé du poste

Midland Women's Clinic is seeking a dedicated medical billing professional to verify benefits and manage prior authorization processes. The role requires billing training or certification and experience with insurance verification.

You will support the billing team by verifying insurance coverage and processing related documents. The ideal candidate has 3–5 years of billing experience, strong communication skills, and proficiency with EMR systems and standard office software.

Qualifications

• Certification in Billing/Coding.
• High School diploma or GED required; some college preferred.
• 3 to 5 years billing experience or 5 years Medical Office Experience preferred but not required.
• Excellent communication skills.
• Proficiency in office applications (word processing, databases, etc.).
• Preferred experience with EMR systems.
• Strong organizational and time management skills.
• Proficient typing skills.

Responsabilités

• Thorough knowledge of ICD-10-CM codes, CPT, and HCPCS.
• Communicates with insurance carriers and the physician to complete prior authorizations.
• Analyzes patient documents to anticipate issues with prior authorization.
• Completes insurance documents and transmits them for approval.
• Communicates with the physician’s office during the prior authorization process.
• Discusses medications, insurance and prior authorization documents with patients.
• Get prior authorization approval from insurance companies.
• Appeal insurance companies after prior authorization refusals.

Connaissances

Billing/Coding Certification

EMR Systems

Excellent Communication

Typing Proficiency

HIPAA Knowledge

Insurance Knowledge

Formation

High School diploma or GED

Outils

Microsoft Office

Description du poste

Job Description:

We are in search of dedicated billing professionals who understand the importance assisting with benefit verification and the prior authorization process. This professional must demonstrate experience, certifications, or training in medical billing. Responsibilities will include verification of all medical insurance and support services to the billing department team members.

Responsibilities May Include:

• thorough knowledge of ICD-10-CM codes , CPT, and HCPCS)
• Communicates with insurance carriers and the physician in order to complete patient prior authorization.
• Analyzes all patient documents to anticipate any issues that may occur with the prior authorization approval.
• Completes all necessary insurance documents, transmitting them for approval.
• Communicates with the physician's office throughout the prior authorization process.
• Discuss medications, insurance and prior authorization documents with patients.
• Get prior authorization approval from insurance companies.
• Appeal insurance companies after prior authorization refusals.

Position may also evolve to include:

• Post office charges in accurate and timely manner
• Review Physician coding and documentation for charge entry
• Help verify insurance and benefits as needed
• Typing and Data Entry
• Prepare and submit claims to insurance companies
• Maintain knowledge of insurance companies, their billing guidelines and protocols.
• Possesses basic knowledge of insurance EOB's and how claims are processed.
• Respond to patient inquiries concerning billing; via phone or email.
• Collect payments and arrange payment plans
• Handles and processes patient refunds
• Assist with incoming calls as needed.
• Performs other duties as assigned

Skills, Education and Experience:

• Certification in Billing/Coding
• High School diploma or GED is required; some college is preferred.
• 3 to 5 years billing experience or 5 years Medical Office Experience preferred but not required.
• Excellent communication skills.
• Demonstrate proficiency in personal computer office applications, such as word processing, databases, and other software.
• Preferred experience with EMR systems.
• Strong organizational and time management skills.
• Demonstrates proficient math skills.
• Excellent attention to detail and listening skills.
• Demonstrate proficient typing skills.

Physical/Mental Abilities:

• Ability to prioritize and multi-task.
• Ability to effectively and respectfully communicate with others.
• Ability to follow through and complete tasks.
• Ability to follow policies and procedures.
• Ability to work in a team environment.
• Ability to operate standard office equipment including computer, phone, copier, messaging systems and fax machines.
• Must be able to sit for long periods of time.
• Must be able to handle difficult and sensitive situations in a professional manner.
• Must be able to observe and follow HIPPA standards.

Job Type: Full-time

Benefits Available:

• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Retirement Plan
• Paid Holidays
• Spanish speaking a plus
• OB/GYN billing experience Preferred

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Location:

• Midland, TX 79701 (Required)

Ability to Commute:

• Midland, TX 79701 (Required)

Work Location: In person