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Medical Billing & Coding Specialist

Company: Sedona Staffing
Location: Moline
Posted on: May 15, 2024

Job Description:

Medical Billing and Coding SpecialistShift: 1stJob Location: Moline, ILCompensation:The pay rate for this position is:* Pay Rate: $18-22/hrResponsibilities:The Medical Billing Specialist is responsible for the timely submission of technical or professional medical claims to insurance companies and all other aspects of medical billing.* Setting up patient payment plans and work collection accounts.* Updating cash spreadsheets and running collection reports.* Respond to requests for medical records & process said requests.* Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.* 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.* Checking each insurance payment for accuracy and compliance with contract discount.* Call 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.* Updating billing software with rate changes.Requirements:* Associate degree in medical billing or successful completion of a certification program.* Minimum of 3+ years of related experience.* GI & eClinicalWorks experience preferred.* Certified coder.* Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.* Competent use of computer systems and software.* 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.* Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.* Critical thinking skills to research and resolve discrepancies, denials, appeals, collections.* A calm manner and patience working with either patients or insurers during this process.* Knowledge of accounting and bookkeeping procedures.* Knowledge of medical terminology likely to be encountered in medical claims.* Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).* Advanced Knowledge of Microsoft Office and Microsoft Excel.* Strong Reporting Skills.* Strong Organization, Planning and Analytical Skills.Sedona Staffing Benefits:As a Sedona Staffing employee, you are eligible for the following benefits:* Medical Insurance* Vision and Dental Insurance* Short-term Disability, Life and AD&D Insurance* 401K PlanIf you have any additional questions, please give us a call at (309) 743-7000.Sedona Staffings mission:Our commitment is to create a quality environment where people can become more autonomous, self-reliant, and more competent. In this environment, they can specialize, hone their skills, and discover their distinctiveness.Sedona is an Equal Opportunity Employer.Sedona uses E-Verify to confirm the employment eligibility of all newly hired employees.#MOL123by Jobble

Keywords: Sedona Staffing, Moline , Medical Billing & Coding Specialist, Healthcare , Moline, Illinois

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