Medical Billing Manager: ICD-10 & Denials Expert

Clinical Care Medical Centers; Miami (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

Clinical Care Medical Centers is seeking a Billing Manager with in-depth knowledge of procedural coding and experience in managing a medical billing department. The ideal candidate should have a Certified Professional Coder Certification and be proficient in ICD-10 coding, CPT, and HCPS.

Responsibilities include creating and submitting insurance claims, processing patient billing, and ensuring accurate documentation of appeals. This position is pivotal in maintaining compliance with Medicare and Medicare Advantage billing methodologies.

Qualifications

• 3+ years of experience managing a Medical Billing Department.
• Strong knowledge of Medicare and Medicare Advantage billing methodology.
• Bi-lingual English/Spanish preferred.

Responsibilities

• Review medical records for accurate ICD-10 coding.
• Create and submit insurance claims.
• Process patient billing and reimbursement claims.
• Document appeals for insurance denials.
• Assist in balancing copays and insurance payments.

Skills

ICD-10 coding

CPT coding

HCPS

Billing and Collections

Spanish

Organizational Skills

Customer Service

Education

Certified Professional Coder Certification

Tools

MS Word

MS Excel

Job description

Clinical Care Medical Centers is seeking a Billing Manager with in-depth knowledge of procedural coding and experience in managing a medical billing department. The ideal candidate should have a Certified Professional Coder Certification and be proficient in ICD-10 coding, CPT, and HCPS.

Responsibilities include creating and submitting insurance claims, processing patient billing, and ensuring accurate documentation of appeals. This position is pivotal in maintaining compliance with Medicare and Medicare Advantage billing methodologies.