Medical Billing and Coding Associate

Title: Medical Billing and Coding Associate
Pay Range: $20-$24 per hour, based on experience
Employment Type: Full-Time, Hourly
Location: 16-70 Weirfield St, Ridgewood, NY (In-Person)
Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off PTO, Weekly pay, 401k

We are seeking a skilled and detail-oriented Medical Billing and Coding Associate with a primary focus on coding to join our team. The ideal candidate will possess expertise in medical coding, including ICD-10, CPT, and HCPCS coding systems, and will play a vital role in ensuring accurate coding and billing practices.

Responsibilities:

• Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues
• Responsible for escalating concerns regarding questionable paperwork to appropriate management
• Contact payers to verify claim status via phone or web and follow up on unpaid claims
• Process appeals on aged insurance claims/denials
• Ability to analyze, identify and resolve issues which may cause payer payment delays
• Identify and resolve claim edits through understanding of billing guidelines and payer requirements
• Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate
• Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable
• Review all EOBs for correct payment, deductible, adjustments, and denials
• Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment
• Reconcile account balances, and verify payments are applied correctly
• Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner
• Follow up on appeals/corrected submitted claims
• Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding
• Review and audit customer service account inquiries
• Receive inbound/outbound customer service call
• Provide excellent customer service to all patients, Insurances & Facilities
• Review and correct all rejections in clearing house
• Perform all other related duties as assigned

Qualifications:

• Must have 2-3 years of medical billing experience (required)
• Ambulance billing experience (preferred)
• Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
• Proficient in CPT and ICD-10 coding
• Ambulance/Medical billing certification or diploma preferred
• Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred
• Excellent organizational skills and the ability to multitask in a fast-paced environment
• Analytical - collects and researches data; uses intuition and experience to complement data