RCM Specialist / Certified Professional Coder (CPC)
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Workit HealthTelemedicine Addiction Care
Remote - United States, M-F, 8:00 AM - 4:30 PM local timeFull-TimeMiddle
Salary24.5 - 25.5 USD per hour
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Job Details
- Experience
- 1-2 years
- Required Skills
- Microsoft ExcelGoogle SheetsEHRHIPAA
Requirements
- 1-2 years of previous medical billing experience.
- Certified Professional Coder (CPC) or Certified Professional Biller (CPB) required.
- Experience with calling health insurance plans.
- Proficiency with MS Word and Google Sheets or MS Excel.
- Experience with medical software, insurance websites, and EHR systems (Elation or Candid preferred).
- Ability to work independently and rely on personal knowledge for problem-solving.
- Strong analytical skills and attention to detail.
- Excellent organizational and time management skills.
- Demonstrated customer service excellence and ability to work in a team environment.
Responsibilities
- Verify patient eligibility and benefits including coordination of benefits.
- Identify and resolve claims processing issues, including pre-submission errors, and generate appeals or reprocess claims.
- Communicate effectively with patients, physicians, management, staff, and third-party representatives.
- Contact insurance payers for eligibility, claims resolution, and authorization requests.
- Submit medical records to insurance when needed.
- Review and audit patient accounts for accuracy.
- Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards.
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