Building a world that realizes the boundless potential of all people.
Medical Billing and Accounts Receivable Specialist
Location
Ohio
Posted
4 days ago
Salary
0
Seniority
Junior
Job Description
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc.
• Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. • Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies. • Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role. • Verify insurance benefits and confirm patient eligibility. • Obtain prior authorization for services as required. • Review clinician entered charges entered for accuracy before generating claims. • Prepare and submit claim files. • Post insurance and clients payments accurately and in a timely manner. • Analyze and address ERA/EOB denials by taking appropriate corrective action. • Manage accounts receivable and actively pursue outstanding balances. • Oversee client collections to ensure timely payment. • Handle insurance appeals for denied or underpaid claims. • Stay informed and compliant with payor reimbursement policies, procedures, and guidelines. • Monitor and apply contracted fee schedules to ensure accurate expected payment. • Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff to ensure exceptional customer service. • Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc. • Other duties as assigned.
Job Requirements
- High school diploma required; college coursework a plus.
- Preferred 1-3 years’ experience in medical billing and collections, as well as insurance verification.
- Proficient in Microsoft 365
- Medical Coding Certification (Preferred)
- Driver’s license and insurable driving record, if applicable.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
Related Guides
Related Categories
Related Job Pages
More Medical Billing and Coding Jobs
• Process and submit medical claims accurately and on time • Assign appropriate ICD-10, CPT, and HCPCS codes • Review documentation for coding compliance • Follow up on denied or unpaid claims as needed • Communicate with providers, payers, or clients when necessary • Maintain HIPAA compliance and data security standards
• Process and submit medical claims accurately and on time • Assign appropriate ICD-10, CPT, and HCPCS codes • Review documentation for coding compliance • Follow up on denied or unpaid claims as needed • Communicate with providers, payers, or clients when necessary • Maintain HIPAA compliance and data security standards
• Process and submit medical claims accurately and on time • Assign appropriate ICD-10, CPT, and HCPCS codes • Review documentation for coding compliance • Follow up on denied or unpaid claims as needed • Communicate with providers, payers, or clients when necessary • Maintain HIPAA compliance and data security standards
Medical Coder - Radiation Oncology
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Title: Medical Coder - RAD-ONC Location: United States Work Type: Remote, Full Time Job ID: 2339773 Job Description: Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts - Assigns CPT and ICD-10 codes to all RAD-ONC - Monitors assigned work queues to ensure all records are charged/coded in a timely matter - Generates coding queries for clarification regarding physician documentation as needed - Stays abreast of all changes in coding conventions and coding updates - Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision - All other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: - Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays - Medical Plan options along with participation in a Health Spending Account or a Health Saving account - Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage - 401(k) Savings Plan, Employee Stock Purchase Plan - Education Reimbursement - Employee Discounts - Employee Assistance Program - Employee Referral Bonus Program - Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: - High School Diploma/GED - Professional coder certification with credentialing from AHIMA and/or AAPC (CPC-A, RHIT, RHIA, CCA, CPC, COC, CPC-P, CCS) to be maintained annually - 2+ years of experience with PCs in a Windows environment, including MS Excel and EMR systems - 2+ years of experience with ICD-10 and CPT coding with a focus in RAD-ONC Preferred Qualifications: - 2+ years of post-certification medical coding experience - 2+ years of Outpatient Physician coding (Pro-Fee) experience - Experience with EMR systems (Epic) - All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

