Medical Billing and Coding Specialist Job at Southwest Eye Care, Albuquerque, NM

a1dIRy9QSkp1K0JoQU15YTdCbE5NWFQzUHc9PQ==
  • Southwest Eye Care
  • Albuquerque, NM

Job Description

POSITION: Medical Billing and Coding Specialist

DEPARTMENT: Billing Office

REPORTS TO: Practice Administrator

JOB SUMMARY: A busy Ophthalmology clinic is seeking to hire an experienced Medical and Billing Coding Specialist located in Albuquerque, NM. The proper candidate would be responsible for all phases of coding, billing, insurance payment posting/payment downloads, and account follow-up by using accepted billing practices and ensure thorough and consistent account resolution with insurance payers.

JOB TYPE: Full-time

EDUCATION AND EXPERIENCE:

  • High school diploma
  • 3 years in medical billing/coding
  • Excellent customer service skills
  • Strong written and verbal communication skills
  • Ability to manage relationships with various insurance payers
  • Must be detail oriented and ability to multi-task and stay organized
  • Responsible use of confidential information following HIPAA guidelines
  • Working knowledge of CPT/ICD-10 coding and medical terminology
  • At least 3 years of insurance billing in a medical office (to include working claim denials and outstanding AR, multiple carrier experience with EOB's and claim denials)
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
  • Must have thorough understanding of Medicare/Medicaid laws, managed care and commercial health insurances
  • Self-motivated; able to work productively, effectively and independently in a fast paced environment
  • Must have predictable and consistent attendance

DESIRED SKILLS AND ABILITIES:

  • Previous Ophthalmology coding/billing experience
  • Knowledge of EMR PM systems

RESPONSIBILITIES:

  • Coding review, charge entry and billing of all patient visits
  • Review all payments and denials as received from the insurance company, file appeals as needed
  • Review and interpret clinical documentation to identify pertinent diagnosis/procedures and apply correct ICD-10 CPT codes keeping within coding guidelines
  • Post payment from EOB's and download electronic payments
  • Discuss financial arrangements with patients
  • Send out monthly statements
  • Provide excellent customer service when assisting patients in understanding their balance
  • Assist with authorizations and insurance verification when needed

Job Tags

Full time,

Similar Jobs

G A Johnson Construction Inc

Carpenter (Skilled) Job at G A Johnson Construction Inc

 ...Job Description Construction Carpenter: $25-$35 per hour Are you a Craftsman at heart? Do you enjoy being part of a "Quality TEAM"?...  ...Benefits, Health, 401K, Holiday Pay, PTO May be required to travel. GA Johnson Construction is a full service construction company... 

Dell Seton Medical Center at The University of Texas - Ascen...

Plastic Surgery - Physician Job at Dell Seton Medical Center at The University of Texas - Ascen...

Plastic Surgery - Physician at Dell Seton Medical Center at The University of Texas - Ascension summary: This position is for a Plastic Surgery Physician Assistant or APRN providing care to trauma, inpatient, and outpatient plastic surgery patients across multiple Ascension...

E-Solutions INC

Pytest,Python and Databricks Job at E-Solutions INC

 ...Hi Professionals, Title: QA Tester/ETL Tester with Pytest,Python and Databricks Location: Remote JD: Mandatory skills Pytest Framework , Python, Databricks Required Skills: Strong experience in ETL testing, data validation... 

Global Dimensions

Full Spectrum GEOINT Analyst - Senior - TS/SCI - Fort Bragg, NC Job at Global Dimensions

 ...cyber security, and intelligence. A successful SeniorFull Spectrum GEOINT Analyst shall perform advanced level imagery and imagery...  ...application towards intelligence problems. ~ Demonstrate a working knowledge of geospatial and intelligence data management within... 

CEO Lawyer Personal Injury Law Firm

Virtual Staff Lawyer (Bilingual) Job at CEO Lawyer Personal Injury Law Firm

 ...Overview CEO Lawyer is a rapidly growing personal injury law firm headquartered in downtown Atlanta. We are committed...  ...people. Job Summary We are seeking a FullTime remote Staff Lawyer / Legal Assistant to assist in our PreLitigation department. Must be bilingual...