Coding & Claims Management for Medical Provider (Non-Facility)

TeleMate Health Coding & Claims Management for Medical Provider (non-facility)

https://telematehealth.bamboohr.com/hiring/jobs/28...

At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and fills in the healthcare gaps. We deliver individualized holistic patient care while connecting in a way that?s effective for the patient. We are seeking a hardworking and skilled coder and claims management person to join our dynamic team!

Position Overview

As a Coding & Claims Management for Medical Provider (non-facility) for TeleMate Health, you will play a crucial role in supporting our mission to provide accessible healthcare solutions. We currently do not have a dedicated resource to this space, so you will have the autonomy to establish processes and protocols to grow this department from. Our primary market is Tennessee and the midsouth. We would strongly prefer to have this resource reside in this market.

Key Responsibilities
? Billing: Preparing and submitting medical claims to insurance companies
? Identify the proper codes that correspond with services delivered
? Ensure metrics are met for submission to minimize claw back
? Submit claims directly to clearing house in a timely fashion
? Identify and implement prebilling process that would streamline and improve claim outcomes
? Claims processing: Researching, correcting, and resubmitting claims to avoid revenue loss
? Mitigate any claim issues or risks during submission
? Collections: Handling payments, tracking accounts receivable, and following up on outstanding accounts
? Reconcile reimbursements
? Documentation: Gathering and verifying patient information, including insurance coverage, demographics, and consent to treat
? Supply audit documents as requested
? Assist with resolving any discrepancies or issues related claim submissions or reimbursements
? Compliance: Ensuring compliance with best practices, policies, and procedures
? Remain up to date on changes specific to claims submissions
? Identify and implement prebilling process that would streamline and improve claim outcomes
? Comply with all safety regulations and contribute to maintaining a safe working environment
? Patient communication: Working with patients to arrange payment options, answering questions, and addressing complaints
? Identify and implement a process to streamline and maximize ROI v costs
? Support: Providing support to other departments and external payers
? Maintain insurance credentialing and expand credentialing as needed

Qualifications And Skills
? Medical office billing and coding certificate (required)
? Certified Revenue Cycle Specialist (CRCS) preferred
? Prior experience submitting claims through clearing house
? Positive team player with quick learning abilities and a strong work ethic
? Excellent interpersonal skills
? Detail-oriented with the ability to quickly grasp basic systems
? Experience with ClaimEZ and ClaimMD a plus
? Experience with insurance credentialing also a plus

What We Offer
? Competitive salary and benefits package.
? Ability to work remotely - Flexible work hours to promote work-life balance.
? Ongoing professional development and training opportunities.
? A supportive and collaborative remote work environment.

Location: Nashville, TN (Remote)

Department: Billing/Coding

Employment Type: Part-Time

Minimum Experience: Experienced

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