Job description

Who we are:

We are a busy Pediatric practice located in Caledonia, Michigan. We have 5 physicians in this practice as well as several care managers and a psychologist.

What we are looking for:

We are looking for a medical biller with Pediatric claims experience. Responsibilities include working denials/rejections and accounts receivable follow up. Other duties could include posting payments, printing reports, and compiling medical records. In addition to the administrative functions of the job, this position includes patient interaction both on the phone and in person. The job requires a self-starter with strong organization skills, ability to multi-task, proficiency on the computer, strong phone/communication skills, and the ability to work on a team.

Responsibilities:

• Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials.

• Work rejections for insurance companies regarding diagnostic and procedure code denials.

• Contact insurance companies for verification of claim status and clarification of denials.

• Work delinquent claims in regards to diagnostic and procedure code denials for insurance companies that are aged.

• Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance company.

• File appeals if refund requests are disputable.

• Thoroughly document all actions taken on patient account in the history.

• Document, retain and report files of all common trends of rejections for assigned insurance companies to the supervisor.

Qualifications:

• HS Diploma or GED equivalent required
• Medical Billing/Coding required, CPC or RCC certification
• Thorough knowledge of anatomy, medical terminology, ICD-10, CPT and modifier codes
• Minimum of one year of medical billing and coding experience
• Excellent problem solving and analytical skills
• Strong computer skills including billing/coding systems
• Great communication skills with multi-tasking abilities.
• Demonstrates reliable account management skills and understands the process of billing and collections.
• Knows how to work on aged accounts, coding and error resolution
• Strong customer service care

Experience:

• ICD-10: 1 year (Preferred)
• CPT Coding: 1 year (Preferred)
• Medical Billing: 1 year (Preferred
• Pediatric experience (Preferred)
• EPIC experience (Preferred)

Job Types: Full-time, Part-time

Pay: $19.00 - $24.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Masking is required for anyone with respiratory symptoms

Application Question(s):

• Do you have experience billing through EPIC EMR?
• COVID vaccination is a requirement to work here, are you vaccinated?

Experience:

• ICD-10: 1 year (Preferred)
• CPT Coding: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)
• Pediatrics: 1 year (Preferred)

License/Certification:

• CPC or RCC certification (Preferred)

Work Location: In person

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