MEDICAL CODING AND BILLING SPECIALIST

Specialty Doctor's Office; Texas; On-site; USD 42,000 - 65,000; Full time

Job summary

Westside Podiatry in Texas is seeking a skilled medical billing professional with strong Athena experience to manage coding, posting, and receivables recovery in a fast-paced podiatry practice.

You will verify benefits, review EOBs, file electronic remittance, post payments, and run A/R reports, collaborating with the practice manager and doctors to resolve issues.

A high school diploma and 3+ years of experience are required; HIPAA compliance and coding accuracy are essential.

Qualifications

• 3+ years of in-depth medical business office experience with coding, posting, electronic remittance filing and A/R.
• Experience with Athena EMR and electronic remittance filing.
• Knowledge of HIPAA compliance, CMS1500 forms, ICD-10, CPT codes, and modifiers.
• Strong written and verbal communication; ability to type at least 45 wpm.
• Pass a criminal background check and provide verifiable references.

Responsibilities

• Verify insurance benefits and eligibility.
• Review explanations of benefits and correspondence.
• Compose appeals and review medical records.
• Post payments and write off uncollectible accounts after review with practice manager and doctors.
• Run A/R reports and discuss findings with practice manager and doctors.
• Identify payer issues (codes, payers) and notify management.
• Collaborate with Athena on workflows (hand-in-hand).
• Work managerial holds and other Athena buckets.
• Scrub and edit claims prior to submission.
• Review authorizations and pre-authorizations.
• Knowledge of Medicare/Medicaid, managed care, Market Place, Military, and commercial products.
• Track online insurance login information.

Skills

Medical billing

Coding knowledge

A/R management

HIPAA compliance

Education

High school diploma or equivalent

Tools

Athena EMR

MS Word

MS Excel

Job description

Job Description

Westside Podiatry is searching for a confident professional that is adept at medical insurance billing, coding, and receivables recovery, with a strong background in Athena. The candidate must have proven productivity track record, great attitude, thrive in a fast paced production environment, be quality oriented, and possess the ability to adapt to a variety of technologies.

Skills Required

You must have at least 3 years of in-depth medical business office experience. This should include experience with coding, posting, electronic remittance filing, A/R, plus strong positive working relationships with patients and insurance companies. We will only consider candidates with medical billing experience.

Critical and analytical thinking is key. Must be able to work independently and in a team environment, take initiative, and have knowledge of all aspects of the medical billing revenue cycle.

Responsibilities

• Insurance verification
• Reviewing explanation of benefits and correspondence
• Composing appeals and reviewing medical records
• Payment posting and writing off uncollectible accounts, after review with practice manager and doctor(s)
• Running and working A/R reports, reviewing reports with practice manager and doctor(s)
• Identifying problematic insurance company issues, ie: codes, payers, etc and notifying practice manager
• Work closely (hand and hand) with Athena
• Work managerial holds and other Athena buckets
• Scrub and edit claims prior to submitting
• Review authorizations
• Knowledge of pre-authorizations/pre-certifications
• Knowledgeable of Medicare/Medicare products, Medicaid/Medicaid products, managed care products, Market Place, Military, and commercial insurance company products
• Tracking and managing all online insurance company log in information

Requirements

• Must be able to pass a criminal background
• Knowledge of HIPAA compliance, CMS1500 claim forms, ICD-10, CPT codes, and modifiers
• Working knowledge of computers such as Microsoft Word and Excel
• Ability to type at least 45 wpm
• Good written and verbal communication skills
• Ability to communicate in a professional manner during interaction with colleagues, military clients, patients, as well as the private health insurance representatives
• Must have reliable and verifiable work references
• Possess strong analytical thinking and have great organizational skills

Schedule

• 8 hour shift
• Monday to Friday

Education: High school or equivalent (Preferred)

• Work Location: One location

*** A PLUS: Podiatry experience, working with Athena, credentialing, hospital surgical scheduling, and hospital surgical pre-certification.

Company Description

We excel in healing Foot and Ankle conditions.