Medical Billing: 3 years (Required)
High school or equivalent (Preferred)
Pediatrics: 2 years (Preferred)
Experienced Pediatric Medical Biller, Collections and Coding Specialist is being sought for a busy pediatric practice located in North County of San Diego.
Medical Coder/Poster to be responsible for all aspects of professional billing, collections and coding for Pediatric Office.
Position is full-time (40 hours per week)
Qualified candidates should have at least 5 years coding experience as well as payment posting experience.
Successful candidate must be professional, dependable, flexible, well-organized team player who can multi-task, work independently and problem solve.
*CHARGE REVIEW: Prepare and submit claims on a daily basis by reviewing diagnosis and procedure codes as well as provider notes for accuracy
*Payment Posting: prepare payment posting through 3rd party affiliates and Reconcile daily payment postings as well as manual payment postings as needed
Upload and log electronic remits from various insurance companies.
· Review, correct and reconcile errors from remit uploads, manually post payments as needed to balance.
· Run appropriate billing reports, review denied claims and re-bill claims as appropriate.
· Follow-up with insurance companies and payment guarantors to resolve issues and obtain payment.
*Look for trends, patterns and issues in medical coding and immediately inform billing staff as well as present coding suggestions and corrections at the Providers monthly meeting
*Respond to patient and or insurance telephone, email and or fax inquiries daily in a professional manner
*Respond to Provider and Staff questions and or concerns daily
*Ensure that you are current on all applicable insurance websites
*Cross train and cross coverage on Front Desk during shortages
*Perform other tasks as assigned
*Current knowledge of insurance carriers billing/coding required
*Pediatric billing experience a plus!!
*Experience working with EPIC is also a plus!!!
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Work Location: One location