Remote Medical Billing Coder

Duties and Responsibilities

The Medical Billing Coder is responsible for performing billing and computer-related tasks, including patient and third-party billing, data entry, and encounter posting. Key responsibilities include:

• Conducting follow-ups on outstanding accounts receivable (A/R) across all payers, including self-pay, and resolving claim denials.
• Preparing and submitting accurate claims to various insurance providers electronically or via paper submission.
• Managing the resolution of outstanding A/R and denials for all payer types, including self-pay.
• Responding to inquiries from patients, FHCHC staff, and insurance companies regarding billing and account-related matters.
• Identifying and resolving patient billing concerns.
• Preparing, reviewing, and distributing patient statements while managing related correspondence.
• Handling all communications related to insurance or patient accounts by reaching out to insurance carriers, patients, and other facilities to ensure maximum reimbursement and resolve billing issues.
• Answering patient and insurance company inquiries regarding billing and statements.
• Processing and posting payments from patients and insurance providers.
• Reviewing clinical documentation and providing coding support to clinical staff as needed.

Qualifications

• High school diploma or GED required, along with experience in medical billing.
• Certified professional coding certificate required, with knowledge of third-party billing requirements, ICD and CPT coding, and general billing practices.
• Strong interpersonal and communication skills, with the ability to collaborate effectively as part of a team to serve patients.
• Detail-oriented with the ability to work independently.
• Bilingual proficiency in English and Spanish is highly preferred.
• Experience with FQHC and EPIC systems is desirable.
  

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