Job Description

Job Description

Job Description

Sanctum Integrated Health Services, Llc in Elkton, MD is looking for one medical biller/coder/credentialer to join our 4 person strong team. Our ideal candidate is self-driven, ambitious, and reliable. Sanctum Integrated Health Services, is a new private multi-specialty practice that has a part-time position with career growth opportunity and revenue bonuses. This position is not remote but has some flexibility in work days and hours.

Responsibilities

• Review patient information and translate services into correct codes
• Input medical data entry into patient account systems
• Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology)
• Able to check, verify and recommend correction of coding according to coding regulations
• Assist with billing/coding policies
• Communicate with insurance providers and medical staff
• Verify coverage and eligibility for medical services
• Communicate with insurance providers and patients
• Review patient bills and correct any missing or inaccurate information
• Use a billing software to prepare and transmit claims
• Collect unpaid claims and clear up discrepancies
• Investigate and appeal claims that were denied
• Complete data entry to update spreadsheets and reports
• Work with patients to set up payment plans
• Adapt to updates and changes in billing software
• obtaining pre-authorizations for certain procedures
• Ensures that information in CAQH is uptodate and Attestments are completed in an accurate and timely manner
• Escalates issues to management as appropriate
• Prepares and sends credentials to insurance company for enrollment and re-enrollment.
• Process follow-up requests with insurance companies
• Maintain and track insurance payer contract's expirations date
• Knowledge and be proficient with Office Ally supper bills and clearing house utilization.
• Maintaining Continuing education to stay current with regulation changes

Qualifications

· Must have 2-3 years experience in medical billing/coding

· Effective organizational skills with the ability to manage multiple responsibilities

· Medical billing certification from an accredited school, Certified Billing & Coding Specialist (CBCS) exam, the Certified Professional Coder (CPC) exam, and the Certified Coding Associate (CCA) exam.

· Proficiency with computers and medical billing software

· Proficient with EMR/Practice management platforms.

· Knowledge of unfair debt collection practices and insurance guidelines

· Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS 

· Communication skills with patients/healthcare companies

· Basic accounting and bookkeeping practices

· Associate or Bachelors Degree is high preferred, but not required.

We are looking forward to reading your application.

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