Billing & Coding Associate

🕒 3 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $22 - $25 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

📊 Especialista em Faturamento

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Wider Circle

SiteLinkedInTodas as Vagas

11 - 50 funcionários

⚕️ Seguro de Saúde

💰 $38.000.000 Series B em 2021-09

Healthcare Insurance • Community

Wider Circle é uma organização de saúde baseada na vizinhança que visa capacitar os membros da comunidade a levar vidas mais felizes e saudáveis. Ao se associar a planos de saúde e grupos de médicos, a empresa oferece programas envolventes e educativos, tanto presencialmente quanto virtualmente. Esses programas são projetados para membros que compartilham interesses e experiências de vida semelhantes, criando um grupo social com o propósito de melhorar o acesso aos cuidados dentro de uma rede comunitária confiável. Wider Circle conecta os residentes em um bairro para apoiar a saúde e o bem-estar uns dos outros, oferecendo ajuda em tarefas como agendar consultas médicas e acessar recursos alimentares, revitalizando assim o senso de cuidado comunitário. A empresa colabora com planos Medicare Advantage nacionais e regionais e Organizações de Cuidados Gerenciados.

Descrição

• Coding & Documentation: Review patient medical records to extract information and assign accurate diagnosis and procedure codes. • Claim Submission: Create, review, and submit clean claims to insurance payers using billing software. • Revenue Management: Follow up on unpaid claims, handle denials, initiate appeals, and manage accounts receivable. • Patient Interaction: Handle inquiries regarding bills, explain insurance coverage, and set up payment plans. • Team Communication: Weekly outreach for any items that are blocking billing must be completed in a professional and timely manner. • Compliance: Maintain strict confidentiality and adhere to HIPAA regulations and, if applicable, CMS guidelines. • Data Integrity: Maintain a 100% accuracy between codes assigned and documented time, ensuring every interaction is documented for clinical continuity and reimbursement. • Startup Agility: Assist the Revenue Cycle and Operations teams in testing new workflows, documenting "what works," and taking on special projects as the company scales.

🎯 Requisitos

• 1–3 years of experience as a biller and/or coder and equivalent education/certification. Strong knowledge of ICD-10-CM, CPT, HCPCS is a must. • Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) or equivalent is required. • Technical Native: You can navigate multiple software tools (Slack, EMRs, Google Suite) simultaneously without breaking a sweat. Spreadsheet experience (preferably Google Sheets) is required. • Exceptional Communication: You are comfortable on the phone and in writing—able to explain complex insurance issues and relay details to appropriate parties. • Detail Obsessed: You notice the missing signature or the transposed phone number that others might miss. • The "Startup Spirit": You are comfortable with ambiguity and excited by the chance to help define a role as we grow.

🏖️ Benefícios

• Comprehensive health coverage, including medical, dental, and vision • 401(k) Plan • Paid Time Off • Employee Assistance Program • Health Care FSA • Dependent Care FSA • Health Savings Account • Voluntary Disability Benefits • Basic Life and AD&D Insurance • Adoption Assistance Program • Training and Development