Billing & Coding Specialist
$38,188,800–$48,880,000 year
On-siteChicago, Illinois, United States
Job Summary
Process missing slips in Athena to create claims per payer guidelines, follow up on denied claims, and resolve requests for itemized bills. Manually post dental payments in Dentrix, process inpatient charges in Alert MD, and handle chronic care coordination charges in Time Doc. Review account balances to determine true insurance and patient refunds, manage payment plans for outstanding balances, and coordinate settlement offers. Maintain regular communications with patients regarding updated insurance information and statement queries until accounts are paid in full. Attend all department and all-staff meetings.
Required Qualifications
- Strong knowledge of ICD-10, CPT-4 and HCPCS coding as well as basic medical terminology
- Ability to interpret and analyze EOBs (explanation of benefits)
- Proficient skills/experience with Microsoft Office products (Outlook, Word, Excel, PowerPoint) and Adobe
- Bachelor's degree in business administration, accounting, or finance preferred
- CPC or CPC-A certifications strongly preferred
- 3 – 5 years of experience in outpatient/inpatient Medicaid, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred
- Prior experience in health care organizations and experience in FQHC strongly preferred
- Prior experience with Athena EMR strongly preferred
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.