CODER/BILLER - LAB - FULL TIME at Toledo Clinic

Toledo, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

30 Jun, 26

Salary

0.0

Posted On

01 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

ICD9, ICD10, CPT Codes, Medical Claim Entry, Medical Insurance, Customer Service, Detail Oriented, Organized, Adaptability, Billing Processes, e-Clinical Works, Reimbursement Claims, Communication, Problem Solving, Scheduling, Phone Skills

Industry

Hospitals and Health Care

Description

General Summary: Responsible for ensuring proper codes are used in order to maximize returns. Works under the supervision of the office manager Principal Duties & Responsibilities: Example of Essential Duties: 1. Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims 2. Responsible for creating reimbursement claims and transfer to Medicare/third party payers 3. Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works. 4. Responsible for communicating with Physician and their office billing/coding issues. 5. Responsible for submission for paperwork to insurance when required. 6. Responsible for e Clinical works billing processes and workflows. 7. Assist patients and PARs with patient billing issues 8. Responsible for communicating coding/billing issues with Laboratory Management. Other Essential Duties May Include (but are not limited to): 9. Provides support to front desk personnel by answering phones, scheduling appointments, etc. 10. Other duties as assigned Knowledge, Skills & Abilities Required: Required: * Must be disciplined, organized, detail orientated and practice excellent customer service and phone skills. * Knowledge of ICD9, ICD10 and CPT codes and manuals required * Previous experience with medical claim entry/processing * Experience with medical insurance carrier requirements and processes * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame * Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed * Demonstrates adaptability to expanded roles. * CPC or CCS-P or able to pass Toledo Clinic’s comprehensive coding test Preferred: * Medical Billing & Coding/Insurance diploma and certification Education: * HS diploma or GED required.

Responsibilities

The Coder/Biller is responsible for ensuring proper coding for laboratory and pathology billing to maximize returns. This includes creating reimbursement claims, coordinating with insurance companies, and assisting patients with billing issues.