Medical Biller/Coder

Nevada Critical Care Consultants-posted about 1 year ago

Full-time

Henderson, NV

11-50 employees

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The Medical Follow-Up Biller at Nevada Critical Care Consultants is responsible for managing medical billing processes, ensuring accurate and timely reimbursement for services rendered. This role requires a detail-oriented individual with extensive experience in medical billing and coding, particularly in follow-up procedures to address outstanding claims and ensure compliance with industry regulations.

Process and submit medical claims to insurance companies and other payers promptly and accurately.
Conduct thorough follow-up on outstanding claims, including denials, underpayments, and appeals, to ensure maximum reimbursement for services provided.
Verify patient insurance coverage and eligibility, ensuring accurate billing information is used for claims submission.
Review medical records and documentation to ensure proper coding of diagnoses and procedures, adhering to current coding guidelines and regulations.
Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
Monitor accounts receivable aging reports, identifying and resolving issues that may impact timely reimbursement.
Collaborate with healthcare providers, patients, and insurance companies to resolve billing discrepancies and inquiries in a professional and timely manner.
Stay up-to-date on industry regulations and compliance standards related to medical billing and coding, ensuring adherence to all legal requirements.

Minimum of 8 years of experience in medical billing and follow-up procedures, preferably in a critical care or healthcare setting.
Certification in medical billing and coding (e.g., CPC, CCS-P) preferred but not required.
Proficient understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
Familiarity with electronic health record (EHR) systems and medical billing software (e.g., Epic, Meditech, NextGen).
Strong attention to detail and accuracy, with the ability to review complex medical documentation and identify billing discrepancies.
Excellent communication and interpersonal skills, with the ability to effectively interact with healthcare professionals, patients, and insurance representatives.
Strong problem-solving and critical thinking skills, with the ability to independently research and resolve billing issues.
Ability to work efficiently in a fast-paced environment, managing multiple priorities and deadlines effectively.

Comprehensive benefits package including health, dental, and vision insurance.
Retirement savings plan (401k) with employer matching.
Paid time off and holiday pay.
Opportunities for professional development and career advancement within the organization.

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