Medical Coder/Biller/Credentials

•Must have 2-3 years experience in medical billing/coding •Effective organizational skills with the ability to manage multiple responsibilities Qualifications •Medical billing certification from an accredited school, Certified Billing & Coding Specialist (CBCS) exam, the Certified Professional Coder (CPC) exam, and the Certified Coding Associate (CCA) exam •Proficiency with computers and medical billing software •Proficient with EMR/Practice management platforms •Knowledge of unfair debt collection practices and insurance guidelines •Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS •Communication skills with patients/healthcare companies •Basic accounting and bookkeeping practices Responsibilities Review patient information and translate services into correct codes Input medical data entry into patient account systems Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) Able to check, verify and recommend correction of coding according to coding regulations Assist with billing/coding policies Communicate with insurance providers and medical staff Verify coverage and eligibility for medical services Communicate with insurance providers and patients Review patient bills and correct any missing or inaccurate information Use a billing software to prepare and transmit claims Collect unpaid claims and clear up discrepancies • Investigate and appeal claims that were denied Complete data entry to update spreadsheets and reports Work with patients to set up payment plans Adapt to updates and changes in billing software obtaining pre-authorizations for certain procedures Ensures that information in CAQH is up-to-date and Attestments are completed in an accurate and timely manner Escalates issues to management as appropriate Prepares and sends credentials to insurance company for enrollment and re-enrollment Process follow-up requests with insurance companies Maintain and track insurance payer contract's expirations date Knowledge and be proficient with supper bills and clearing house utilization Maintaining Continuing education to stay current with regulation changes Job Types: Internship, Part-time, Full-time Pay: From $16.00 per hour Schedule: 8 hour shift Day shift Monday to Friday Ability to commute/relocate: Wilmington, DE 19805: Reliably commute or planning to relocate before starting work (Required) Experience: ICD-10: 1 year (Preferred) Work Location: In person