Birmingham, Alabama
Medical Billing and Coding Specialist Job Opening in Birmingham, Alabama - About Upperline Health
Upperline Health is a new healthcare company focused on becoming the national leader in podiatric care. Upperline?s mission is to provide the highest quality foot care to more patients in need through a skilled and compassionate team. We specialize in targeting diabetic patients at risk of developing foot complications and intervening earlier to prevent more serious consequences.
About the Billing and Credentialing Director Role
Upperline Health is seeking a billing, coding and credentialing specialist to support a team of clinicians in delivering complex health services in the clinic and home setting. This person will be based in Birmingham, AL and will be responsible for collecting and submitting claims each day as well as managing the back-office support required by this work. In addition to submitting and managing the billing and collection process, this individual will also be responsible for all credentialing for Upperline Health. This includes collecting the information and completing the initial applications and managing the process from submission to successful credentialing.
Ideal candidates will have prior experience submitting CPT codes via Athena Health and experience with credentialing providers. The candidate must demonstrate organizational skills, detail orientation, flexibility, and ability to work with minimal supervision. As Upperline expands, this individual will be able to explore a wide range of career opportunities within the company.
What You?ll Be Doing
Prepare and enter correct CPT codes to be submitted electronically to billing company
Answer inquiries from patients, insurance companies and providers
Process payments from patients and insurance carriers
Ensure collections are accurate and up to date
Appeal appropriate denials from insurance carriers
Demonstrate knowledge of all payer contracts and follows specific requirements of the account when submitting claims
Ensure the confidentiality of client and agency information through effective controls
Collaborate with clinical staff and supervisors to assure information required for accurate billing is received
Prepare, analyze, and maintain financial and statistical reports
Collect information needed to complete credentialing forms for hospital and insurance credentialing for all new providers
Manage credentialing process
Ensure all providers information for credentialing is up to date, including CAQH profiles
Experience Requirements
High school graduate with minimum of two (2) years of additional training in business, billing/coding, or accounting
Minimum of three (3) years experience in health care billing and collections, preferably in clinic setting and podiatry.
Demonstrated knowledge of billing regulations for Medicare, Medicaid and insurance processing, medical terminology and coding.
Knowledge of regulatory and accreditation standards preferable
Information system knowledge in the areas of electronic claim submission and data entry/report generation
General knowledge of CPT and IDC-10 Codes.
Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
Job Type: Full-time
Required education:
High school or equivalent
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