Job Description
overview
At TeamFicient, we are a dynamic team of highly experienced professionals dedicated to providing tailored solutions that meet the unique needs of our clients. We are currently seeking a skilled Medical Coder & Biller to join our team and play a crucial role in maintaining the efficiency and accuracy of our day-to-day operations.
Job Responsibilities
Pre-Authorization Specialist
- Process and submit authorization requests for procedures and specialist referrals to insurance companies.
- Monitor and follow up on pending approvals to ensure timely authorizations.
- Communicate with healthcare providers and insurers to gather required documentation and resolve issues.
- Maintain accurate records of authorizations and ensure compliance with insurance regulations.
Medical Biller and coder
- Prepare and submit accurate medical claims to insurance companies.
- Verify patient insurance and ensure proper coding of services using CPT and ICD-10 codes.
- Follow up on unpaid or denied claims and handle appeals when necessary.
- Communicate with insurance companies and healthcare providers to resolve billing discrepancies.
Educational Requirements
- High school diploma or equivalent (required).
- Associate’s degree or certificate in medical coding, billing, health information management, or a related field (preferred).
Certifications
- Certified Professional Coder (CPC) from the AAPC (optional but preferred).
- Certified Coding Specialist (CCS) from AHIMA (optional but preferred).
- Certified Medical Reimbursement Specialist (CMRS) from AMBA (optional but preferred).
Responsibilities
- Excellent communication and organizational skills.
- Strong knowledge of medical terminology, insurance processes, and authorization procedures.
- Ability to multitask and prioritize workload in a fast-paced environment.
- Proficient in using electronic medical records (EMR) systems and other relevant software.
- Attention to detail and a proactive approach to problem-solving.
- Ability to work effectively both independently and as part of a team.
- Maintain detailed records of billing activities and ensure compliance with healthcare regulations.
Experience
- Previous experience in medical coding and billing ( at least one year)
- Experience with electronic health records (EHR) and practice management software
- Must have experience working with US companies in this field
Technical Requirements
- Desktop/Laptop with Intel Core i5 or higher
- Minimum 4GB RAM for multitasking
- A dedicated workstation free from noise and distractions
- Backup Internet Connection
- USB Headset with Noise Canceling
- Backup Power Source: Generator/UPS or access to an alternative location