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    Skilled Nursing Facility Coder/Biller

    Healthteq Services
    Miami, FL 33131
    Full-time, Part-time
    Similar jobs pay $12.77 - $20.99
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    Job Description

    Job Description

    HealthTeq Services, LLC is a customer-focused, premier Revenue Cycle Management partner with over a decade of experience & resources in delighting customers. We guarantee quality services along with a good return on investment with our revenue cycle management solutions. Our approach is built on a proven holistic operating model designed to fit seamlessly into your organization. Contact us today to see how we can enhance revenue for your practice.

    Required Skills:

    • 3 to 5 years of recent Skilled Nursing Facility billing experience
    • Medicare and Medicaid SNF billing experience required
    • Experience working with AHT preferred but not required
    • Knowledge of working SNF Denials both on the front and back end of the billing process
    • Knowledge of stay authorization processes.
    • Computer skills
    • Experience in CPT and ICD-10 coding
    • Familiarity with medical terminology
    • Ability to communicate with various insurance payers
    • Experience in filing claim appeals with insurance companies to ensure maximum reimbursement
    • Responsible use of confidential information
    • Strong written and verbal skills
    • Ability to multi-task

    Job Duties:

    • Ensure all claims are submitted daily with a goal of zero errors
    • Timely follow up on insurance claim status
    • Reading and interpreting an EOB (Explanation of Benefits)
    • Respond to inquiries by insurance companies
    • Denial Management
    • Meet with Billing Manager/Supervisor to discuss and resolve reimbursement issues or billing obstacles
    • Any additional duties as requested by management
    • Knowledge with in and out of network insurances, Workers Compensation, insurance verification, patient responsibility, and process for prior authorization.
    • Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
    • Familiarity with ICD-10 and CPT codes and procedures.
    • Proficient in medical coding guidelines and regulations.
    • Reviews medical record documentation to identify pertinent diagnoses and/or procedures that require coding;
    • Reviews medical records to assure accurate specificity of diagnoses, procedures, and appropriate reimbursement for professional charges
    • Effectively utilizes ICD 10, CPT, HPCPS, modifiers and/or other codes according to coding guidelines;
    • Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. in order to ensure proper coding;
    • Increases revenue by collecting payments on outstanding accounts;
    • Conducts audits and coding reviews to ensure all documentation is accurate and precise;
    • Manage the status of accounts and identify inconsistencies;
    • Maintain Appeal/denials. Ensure we are completing timely.

    This is a Telecommute/Work from Home position.

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    Posting ID: 593332283Posted: 2021-01-22