United States Job Openings
CJF America, Inc.
Medical Billing and Coding Specialist
Roxboro
FULL TIME
November 29, 2024
Organization Overview
CJF America is a nonprofit that provides resources to the underserved and underrepresented communities through adult educational programming, learning academies for children, and youth council initiatives.
Responsibilities
CJF America is now hiring for the position of Medical Billing and Coding Specialist based in Roxboro, North America. This position reports to the Associate Director.
- Review patient charges, treatment plans, and insurance information for accuracy.
- Submit and manage insurance claims correctly/timely, including denials and appeals, while utilizing knowledge of medical terminology, ICD-10, and CPT coding.
- Assist patients with billing inquiries, balance billing, and claims support.
- Process insurance and patient payments.
- Communicate with Medicaid managing in-network contracts.
- Track Accounts Receivable outstanding balances for insurance/patient billing within standard billing cycle timeframe.
Job Requirements
- 1 year of professional experience in Medicaid coding and billing.
- Proficiency in using EMR systems and billing software (e.g., Epic, Athena, or similar).
- Strong understanding of coding guidelines, charge capture, and denials management.
- Excellent communication and organizational skills with a focus on accuracy.
- Ability to work independently and collaborate effectively within a team environment.
- Review and analyze denied claims to identify root causes and potential solutions.
- Research and interpret payer policies and procedures to ensure accurate claim submission.
- Develop and implement strategies to reduce denial rates and improve claim reimbursement.
- Timely follow-up on denied claims with Medicaid to expedite resolution.
- Appeal denied claims as necessary, providing clear and concise documentation to support appeals.
- Track and monitor the status of all denied claims, ensuring timely resolution.
- Analyze denial trends to identify patterns and opportunities for improvement.
- Generate regular reports on denial rates, resolution times, and other key performance indicators.
- Utilize data analysis tools to identify areas for process improvement and cost savings.
Pay: $18.00 - $20.00 per hour
Schedule:
- 8 hour shift
- ICD-10: 1 year (Preferred)
- Roxboro, NC 27573 (Required)
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