Rock Cave, West virginia
Certified Professional Coder Job Opening in Rock Cave, West virginia - Bills insurance companies for all office based medical provider bills. The clerk pursues collection of all claims until payment is made by insurance companies. Performs other work associated with the billing process, including billing and collections of self-pay accounts.
Prepares and submits office based provider claims to third party insurance carriers either electronically or by hard copy billing.
Posts all receipts from patients to proper patient accounts
Secures need medical documentation required or requested by their party insurance companies.
Process patient refunds and complete proper paperwork for payment of refund to either patient or insurance company.
Follows-up with third party insurance carriers on unpaid claims until claims are paid or only self pay balance remains.
Send patient accounts to collection agency, if needed.
Processes rejections by both making accounts private and generating a letter of rejection to patient or correct any billing error and resubmitting claims to third party insurance carriers.
Works with medical providers or medical record staff to ensure that correct are reported to third party insurance carriers.
Regularly work with patient navigators to ensure correct patient/ insurance information is obtained.
Makes accounts private and notify patients when claims have not been paid or rejected in established accounts receivable policy.
Keeps updated on all billing and benefit changes for third party insurance carriers.
Posts third party insurance remittance vouchers.
Monitors claims for missing information, numbers.
Maintains confidentiality of all information.
Completes work within authorized time to assure compliance with departmental standards.
Keeps updated on third party billing requirements and changes for insurance types within their area of responsibility.
Demonstrates knowledge of, and supports, office mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
Performs other duties as required.
Education:
Successful completion of high school or commercial coursework including math, bookkeeping and business. Post high school courses in insurance billing, data processing and medical terminology preferred. Certified Professional Coder is highly preferred.
Experience:
One year prior experience preferred in billing of third party insurance for facility and processional services required. Must be able to type 35 wpm and operate a personal computer.
In terms of employee benefits, we have a wide array of options and several company paid benefits.
Company paid short term and long term disability
Company paid basic life insurance
Company paid holidays (eight per year)
Generous paid time off (PTO) and sick leave
Generous 401(k) plan that offers matching dollar for dollar for the first 3% of salary deferral
Medical, dental, vision, voluntary life insurance, HRA, FSA, DFSA and prescription coverage
Zero employee charge for healthcare services at any CCWV health facility for employee, spouse and qualifying dependents.
Job Type: Full-time
Required experience:
Coding: 1 year
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