Job Description

About this opportunity:

Albion' Healthcare Division has clients in need of an Office Based Medical Coder/Biller. Our client is a Oncology-Hematology Practice in Broward County and is looking to hire a seasoned Office Based Medical Coder/ Biller to join their central billing office team. Oncology Health Care industry related experience is preferred due to high volume billing in this specialty.

Requirements:

  • Collect and entering claim information.
  • Properly codes charts from medical record
  • Post insurance and patients along with managing accounts.
  • Submit claims and following up with insurance carriers on unpaid or rejected claims.
  • Answer patient inquires on account status and charges if needed.
  • Typically reports to billing supervisor or provider office manager.

Knowledge, Skills, & Abilities

  • Insures claim information is complete and accurate.
  • Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form.
  • Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolves patient complaints or explains why certain services are not covered.
  • Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.
  • Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.
  • Prepares patient statements for charges not covered by insurance. Insures statements are mailed on a regular basis.
  • For patients with coverage by more than one insurer, prepares and submits secondary claims upon processing by primary insurer

The following are required for consideration:

  • Ideally, 3 or more years of oncology, radiology, internal medicine, pain management services
  • You need to know how to read a record and evaluate and code E/Ms and procedures from charts to bill the correct charges on a Superbill
  • This is not straight data entry off of an encounter form or a superbill from what a doctor advises to enter
  • Knowledge of medical terminology
  • Proficiency in MS Word and MS Excel
  • Analytical mindset, with great attention to detail
  • Self-motivated, with proven ability to code with speed and accuracy
  • Solid verbal and written communication skills
  • Team player with great interpersonal skills
  • ICD10 coding experience highly preferred
  • High School Diploma or General Education Degree (GED) and experience as detailed above


Candidate Advice

  • Albion uses E-Verify to verify employment eligibility.
  • Pre-Employment and random Drug and Background testing applicable.
  • Only Local Candidates will be considered; no relocation provided.
  • Reliable Transportation to/from the workplace is necessary.