Required to answer patient phone calls. Work denials and worklist within 24 hours of receipt. Work Accounts Receivables report within benchmarks. Work Unbilled/Exclusion list within 24 hours of receipt. Work Denials related to coding issues.

Duties/Responsibilities

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
• Review and research insurance denials received through insurance remittances, correspondence, or Clearinghouse rejections in an accurate and timely manner.
• Provide timely and efficient follow-up on all outstanding AR using assigned by the practice management worklist reports, using various systems including payer portals, phone inquiries, and/or written communications.
• Ensure timely communication of denials or trends that require the practice's knowledge and/or actions.
• Work collaboratively with other RMC team members and offices to ensure overall account accuracy and issue resolutions are completed.
• Effectively communicate payer billing guidelines to clients and other staff in a timely manner.
• Consistently meets and/or exceeds client AR objectives in each outstanding aging category (30,60,90+) Work denials and worklist within 24 hours of receipt.
• Performs other related duties as required and assigned.

• Good working knowledge of medical terminology and anatomy is required.
• Knowledge of current third-party billing and collection regulatory guidelines and requirements.
• Good interpersonal skills and a basic understanding of team management concepts.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Demonstrate excellence in communication skills, ability to convey information verbally and in writing

Education and Experience

• A high school diploma or GED completion is required.
• Billing or Coding Certification (CPC, CPC-A, COPC, CPB) or willing to obtain certification within 6 months of employment.
• Two (2) years experience with CPT ICD-10 coding of physician services preferred.

Benefits

• Competitive Salary $19 - $21
• Medical, Dental, and Vision Insurance
• Robust Ancillary Benefits
• 401(k) Plan with employer contribution
• Company Paid Life Insurance
• Generous PTO/Holiday
• EEO Statement

High school diploma or GED required; billing or coding certification (CPC, CPC-A, COPC, CPB) or willing to obtain within 6 months; knowledge of medical terminology, anatomy, and third-party billing guidelines; 2 years CPT ICD-10 coding experience preferred.

Key Responsibilities

• reviewing insurance denials
• working accounts receivable
• communicating with payers

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — United States
• Salary: USD 39,520 – 43,680 / year
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Retirement plan

About Sight Partners

A healthcare revenue cycle management company providing billing and coding services. — Industry: Healthcare