Medical Billing and Coding Specialist

Description

QuickVisit Urgent Care is seeking a Medical Billing and Coding Specialist in Waynesboro TN for our urgent care clinics. As a Medical Biller and Coder you will support a culture of delivering the highest quality, most affordable, and accessible healthcare in the rural communities we serve.

Essential Responsibilities:

• Performs daily posting of payments. Reconciles payments and imports remits.
• Post & create claims to send to insurance.
• Must have experience working with and billing for Rural Health Clinics (RHC)
• Review and correct Invalid claims from clearing house and handle accordingly.
• Review Rejected claims from the insurance payers and handle accordingly.
• Perform claims follow-up by working aged balances in accordance of timely filing deadlines.
• Stays current with payer requirements for billing and shares best practices. Is involved with root cause analysis of denied claims and communicates trends and suggestions for improvement.
• Communicate with providers to resolve coding issues or when additional information is needed.
• Ensures process issues (i.e. incorrect data entry upon patient registration) resulting in denials and/or claim delays are brought to managers attention to bring about necessary process changes.
• Communicate with physicians, residents, staff, and other providers when additional information is needed for accurate code assignment.
• Imports claims into the clearinghouse and review claims to achieve clean claims.
• Processes and corrects insurance denials. Works Accounts Receivable account aging to achieve maximum reimbursement for services provided. Documents all efforts on patient accounts.
• Provides customer service to internal and external customers regarding claims and insurance processing. Works with departments to resolve and avoid denials and appeals. Collaborates with team members to make process decisions.
• Works with customers regarding billing questions.
• Works willingly and accepts assignments as given.
• Complies with the Corporate Compliance Policy and all laws, regulations, and Standards of Conduct relating to the position and agrees to report any suspected violations of law or Standards of Conduct.
• Complies with all applicable state and federal regulations and RHC standards.
• Maintains the confidentiality of patient, resident, employee and organizational information.
• Perform other duties as assigned

Schedule:

• 8 Hour Shift
• Monday to Friday
• Ability to work in person on occasion

Benefits:

• Health, Dental, Vision Insurance
• Short Term Disability
• 401k Program
• PTO
• Employer covered Long Term Disability and Life Insurance Policy
• Employee Discount Program – Free visits to you and discounted care for your family!

Equal Opportunity Statement:

QuickVisit is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation because of age (40 and older), race (including discrimination on the basis of a person's hair texture or protective hairstyle commonly or historically associated with race, such as braids, locks, and twists), color, national origin, ancestry, religion, creed, sex, sexual orientation (including transgender status, gender identity or expression), pregnancy (including childbirth, lactation, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), marital status, AIDS/HIV status, veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The Company is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Requirements

Education and/or Experience

• High school diploma or equivalent required
• Medical Billing and Coding certificate, diploma, or degree required
• 2-3 years outpatient billing experience
• Experience with eClinicalWorks preferred, but not required