Sanctum Integrated Health Services, is a new private multi-specialty practice in Elkton Maryland. We are looking for one part-time medical biller/coder/credentialer to join our team. Our ideal candidate is attentive, ambitious, organized, is detailed orientated and can work independently to stay on task. This is a part-time and position with career growth opportunity and revenue bonuses. Flexible day/evening hours are available. This is NOT a remote position.

Responsibilities

*Review patient information and translate services into correct codes *Input medical data entry into patient account systems *Understand the universal code classifications such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) *Able to check, verify and recommend correction of coding according to coding regulations *Create billing claims from provider progress notes *Identify coding billing miss match in claims *Create billing/coding policies *Communicate with insurance providers and medical staff *Verify coverage and eligibility for medical services *Communicate with insurance providers and patients *Review patient bills and correct any missing or inaccurate information *Use a billing software to prepare and transmit claims *Collect unpaid claims and clear up discrepancies *Investigate and appeal claims that were denied *Complete data entry to update spreadsheets and reports *Create revenue cycle reports routinely *Work with patients to set up payment plans *Adapt to updates and changes in billing software and payer code changes *obtaining pre-authorizations for certain procedures *Ensures that information in CAQH is uptodate and Attestments are completed in an accurate and timely manner *Escalates issues to management as appropriate *Prepares and sends credentials to insurance company for enrollment and re-enrollment. *Process follow-up requests with insurance companies *Maintain and track insurance payer contract's expirations date and other relevant details *Knowledge and be proficient with Office Ally billing software and clearing house utilization. *Create supper bills Maintaining Continuing education to stay current with regulation changes

Qualifications

*Must have 2-3 years experience in medical billing/coding *Effective organizational skills with the ability to manage multiple responsibilities *Medical billing certification from an accredited school, Certified Billing & Coding Specialist (CBCS) exam, the Certified Professional Coder (CPC) exam, and the Certified Coding Associate (CCA) exam. *Proficiency with computers and medical billing software *Proficient with EMR/Practice management platforms. *Knowledge of unfair debt collection practices and insurance guidelines *Understanding of primary code classifications: ICD-10-CM, ICD-10-PCS, CPT and HCPCS *Communication skills with patients/healthcare companies *Basic accounting and bookkeeping practices *Associate or Bachelors Degree in medical billing or related field is highly preferred, but not required.

We are looking forward to reading your application.

Available shifts and compensation: Available shifts all days except Sundays and Saturdays. Compensation is $17.00 - $26.00/hour.

Learn more about us at www.sanctumihs.com.

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