Join a busy specialty practice and own the full revenue cycle—coding, clean claims, follow-ups, and patient A/R—while keeping us compliant.
Assign accurate codes (CPT/HCPCS, ICD-10; DRG familiarity) from clinical documentation.
Submit, track, and reconcile electronic and paper claims; resolve rejections/denials (EOB/ERA).
Manage A/R: timely follow-up on unpaid claims; patient billing and payment plans.
Verify eligibility/benefits and obtain/refine authorizations as needed.
Maintain precise records in EMR/EHR and billing software; produce RCM reports.
Partner with clinicians/front desk to fix documentation or coverage discrepancies.
Safeguard PHI and uphold all privacy/security standards.
Recent experience in medical billing/coding and/or collections within a medical practice.
MediClear (or equivalent HIPAA compliance certification).
Working knowledge of medical terminology, EMR/EHR workflows, and claims lifecycles.
Detail-driven, organized, strong written/verbal communication with patients, payers, and providers.
Experience with specialty billing (allergy/asthma or similar outpatient).
Hands-on with clearinghouses, eligibility tools, and common practice management systems.
Denial prevention/root-cause analysis and RCM KPIs.
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