- Health Insurance (HMO)
- Competitive Salary
- Expanded maternity leave up to 120 days
- Allowances
- Paid Time offs (Vacation Leaves Are Convertible to cash if unused)
- Companywide events
- Fun and relaxed environment
- Billing & Coding Specialist
- Eastwood Libis, QC
- Monday to Friday | 10 PM to 7 AM
- Training Schedule: 11 PM to 8 PM (About 1 week)
- *Coding Experience is nice to have, you will be trained in Coding.
- Review medical record documentation to identify pertinent diagnoses and/or procedures that require coding;
- Reviews medical records to ensure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional and/or facility charges;
- Effectively utilizes ICD 10, CPT, HPCPS, modifiers, and/or other codes according to coding guidelines;
- Communicate effectively with the provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. in order to ensure proper coding;
- Creates claims and transfers to third-party payers utilizing the correct forms. IE) HCFAs, UB04's;
- Compiles files consisting of HCFA 1500 forms or UB04's, medical documents, and/or authorizations for various attorneys or requesting payers as needed;
- Increases revenue by collecting payments on outstanding accounts; Conducts audits and coding reviews to ensure all documentation is accurate and precise;
- Manage the status of accounts and identify inconsistencies;
- Perform Authorization on new patients;
- Maintain Appeal/denials. Ensure we are completing timely;
- Other duties as assigned.
- Knowledge within and out of network insurances, Workers' Compensation, insurance verification, patient responsibility, and process for prior authorization.
- Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
- Familiarity with ICD-10 and CPT codes and procedures.
- Willing to be trained in medical coding guidelines and regulations.
- Working knowledge of medical jargon and anatomy.
- Must be task-oriented and have organizational skills.
- Strong attention to detail: being careful about detail and thorough in completing work tasks.
- Ability to work independently by guiding oneself with little or no supervision.
- Ability to communicate professionally with outside parties.
- Ability to adapt with flexibility.
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Billing & Coding Specialist - Philippines, Quezon City, Pilipinas - Sourcefit
Paglalarawan
SummaryAs a Billing and Coding Specialist, you will focus on analyzing patients' records and determining/assigning the correct codes for the patient's records; in addition, to billing the insurance provider, patient, and/or third party. This person will be responsible for interacting with the billing department, medical records department, facility, and/or providers to ensure coding and billing accuracy. This will be a fantastic opportunity for you to gain knowledge and experience in medical coding.
What's in it for you