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Medical Biller and Coder

Remote:

Full Remote

Contract:

Full time

Work from:

Australia

Offer summary

Qualifications:

Proven experience in medical billing and coding., Strong knowledge of Medicaid and major private insurance carriers., Familiarity with CPT, ICD-10, and HCPCS coding., Certification as a Medical Coder preferred..

Key responsabilities:

Process and submit insurance claims accurately.
Manage claim denials and appeals to maximize reimbursements.

BruntWork Human Resources, Staffing & Recruiting SME https://www.bruntworkcareers.co/

501 - 1000 Employees

See all jobs

Job description

This is a remote position.

Schedule:

Monday to Friday

8:00 AM to 5:00 PM CST

with 1 Hour unpaid break

Job Overview:

We are seeking an experienced Biller and Coder with an extensive background in handling Medicaid and private insurance claims, including but not limited to Blue Cross Blue Shield, Aetna, Cigna, Tricare, and other major insurance providers. The ideal candidate should possess a deep understanding of U.S. healthcare billing and coding regulations, with a strong emphasis on pediatric billing and coding compliance.

Key Responsibilities:

• Accurately process and submit insurance claims for pediatric services to Medicaid and private insurers.

• Ensure compliance with current pediatric billing and coding regulations.

• Manage claim denials and appeals efficiently to maximize reimbursements.

• Verify patient insurance coverage and eligibility before services are rendered.

• Work closely with the front office and clinical staff to ensure proper documentation and coding.

• Stay updated with industry changes and regulatory requirements.

• Provide financial reporting and analysis related to billing performance.

• Assist with patient billing inquiries and insurance-related concerns.