Coding Specialist

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1 hour ago

🌵 Arizona – Remote

Although this job is listed in Arizona, this company may be open to hiring remote in other states.

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

+11 more states

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🌽 Illinois – Remote 🎰 Nevada – Remote 🌲 North Carolina – Remote 🚗 Michigan – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Balance Health

WebsiteLinkedInAll Job Openings

Healthcare Insurance • SaaS • B2B

Balance Health is the nation’s premier comprehensive lower-extremity focused Physician Practice, having formed the largest majority physician-owned podiatric medical organization in the United States through its merger with Weil Foot & Ankle Institute. It offers operational support to podiatrists, orthopedic surgeons, and physical therapists, allowing them to concentrate on delivering high-quality patient care and growing their practices. Balance Health aids in recruiting, HR billing and collections, accounting, technology, marketing, regulatory compliance, and more, catering to private practice needs. Moreover, Balance Health provides partners access to ancillary services such as pathology labs, MRIs, physical therapy services, and orthotic labs, which contribute to convenient patient care and additional revenue streams. By leveraging its size to enhance contracts and decrease costs, it supports value-based care while promoting clinical autonomy for its physicians, making it a dynamic partner for medical professionals committed to providing exceptional foot and ankle care.

51 - 200 employees

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

📋 Description

• Responsible for billing, coding, and resolving encounter forms from the clinics, surgery centers, and hospitals related to Balance Health • Identify and present improvement recommendations based on gathered knowledge and experience while working directly with the providers’ documentation and productivity • Assist in monthly audits • Determine and assess patient records, review accounts receivable activities, and collect payment • Responsible for communication with clinicians on a regular basis • Responsible for coding and billing accuracy to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices • Responsible for complete and accurate Patient Demographic Information • Follow up on rejected and/or unpaid claims according to standards • Regulatory Billing Practices Audit & Analysis • Determine accuracy of Insurance Payments and follow up on discrepancies • Run and build reports as required • Review and appeal unpaid and denied claims • Monitor A/R and Collections • Identify and bill secondary or tertiary insurances • Respond to patient and/or insurance companies billing questions • Execute work on assigned claim worklists, AR worklists, reporting, or projects • Communicate trends and root issues through proper lines of reporting • Provide support to medical providers and practice specialists as appropriate regarding coding compliance documentation • Meet productivity and Key Performance Indicator standards

🎯 Requirements

• High school diploma or equivalent • Minimum of 3 years’ experience interpreting insurance explanation of benefits • Minimum of 3 years’ experience with medical claims, billing, payment posting and insurance collections • Certified Professional Coder (CPC) required

🏖️ Benefits

• This position may also require light travel to the practices (POV mileage will be reimbursed)