Benefits:

401(k)

Health insurance

Paid time off

Vision insurance

Who we are: Coastal Home Rehabilitation is a physical, occupational and speech therapy provider whose principal idea focuses on providing services to a patient in their own home or facility based living environment. We are looking for a highly motivated and proactive medical billerJob Description: The primary responsibility of this position is to obtain accurate reimbursement for therapy claims utilizing medical classification codes to assign procedure and diagnosis codes for insurance billing.

Responsibilities and Duties

Confirm patient benefits and insurance

Checking eligibility and benefits verification for treatments

Review referrals and authorizations

Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

Following up on unpaid claims within standard billing cycle timeframe.

Calling insurance companies regarding any discrepancy in payments if necessary

Identifying and billing secondary or tertiary insurances.

Reviewing accounts for insurance of patient follow-up.

Researching and appealing denied claims.

Answering all patient or insurance telephone inquiries pertaining to assigned accounts.

Ensure patient information is accurate and complete

Request any missing patient information

Promote a focus on continuous improvement for all medical billing procedures

Accurately entering patients into EMR system, scanning and verification of documents in EMR

Ability to supplement answering phones in professional manner

Accurate completion of Intake Documents

Scheduling patient appointments

Participate in special projects and perform other duties as required.

Proficiency in the following areas is preferred:

Knowledge of Webpt

Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

Competent use of computer systems and software

Familiarity with CPT and ICD-10 Coding.

Effective communication abilities for phone contacts with insurance payers to resolve issues.

Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.

Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.

Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

A calm manner and patience working with either patients or insurers during this process.

Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Ability to multitask.