Billing and Coding Specialist - Denials

Everyone pitches in at the front desk when check-in backs up. We see about 60 patients a day and close for lunch from 12 to 1. Clinic hours are 7:30 to 5 Monday through Friday, no weekends.

The Billing and Coding Specialist - Denials handles claims for a 30-provider multispecialty group billing Medicare, Medicaid and commercial payers. Hybrid. You will need to be in Allentown at least two days per week.

Essential duties and responsibilities:

• Update payer enrollment and fee schedule issues with the credentialing team.
• Write appeal letters with supporting documentation from the chart.
• Review charges for correct CPT, ICD-10 and modifier use before submission.
• Verify eligibility and coordination of benefits.
• Meet daily productivity and accuracy goals.
• Answer patient billing questions and set up payment plans.
• Work denials and rejections, correct errors and resubmit or appeal.

What we're looking for:

• 3-5 years of medical billing experience.
• Reliable internet and a quiet workspace for remote days.
• Working knowledge of CPT, ICD-10 and HCPCS codes.
• Familiarity with EOBs, ERAs and CARC/RARC codes.
• Experience with clearinghouses such as Availity, Waystar or Trizetto.
• Comfortable in Excel for sorting and filtering AR reports.

Job Type: Part-time

Pay: $22.00-$26.00/hr

Expected hours: 16 - 24 per week

Benefits:

• Dental insurance
• 401(k) matching
• Paid time off
• Paid sick time

Schedule:

• Morning shift

Work Location: Hybrid remote in Allentown, PA

Start: Immediately.

Demo job created on 11jobs for testing and demonstrations. It is not an actual opening at Washington Urgent Care, LLC.