Healthcare Outcomes Performance Co. (HOPCo) logo
Healthcare Outcomes Performance Co. (HOPCo)

HOPCo is the leading provider of musculoskeletal value-based health outcomes, service line and practice management.

Site Billing Specialist – CPC, CCS, RHIT, RHIA Certification

Billing SpecialistBilling SpecialistFull TimeRemoteSeniorTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

2 days ago

Salary

0

Seniority

Senior

High School3 yrs expEnglish

Job Description

Site Billing Specialist – CPC, CCS, RHIT, RHIA Certification

Healthcare Outcomes Performance Co. (HOPCo)

• Maintains productivity and accuracy metrics per department expectation and AEIOU Behavioral Standards. • Abstracts data from medical records to ensure proper coding of diagnosis and procedures including any applicable modifiers. • Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections. • Updates and confirms as necessary to allow processing of claims to insurance plans. • Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients. • Attaches referrals/authorizations to appointments/charges if available. • Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement while maintaining work queue goals. • Makes and receives calls to/from patients to collect on self-pay balances and any other outstanding balance. • Councils patients face to face when patients have questions or concerns regarding outstanding balances. • Acts as a resource to staff and providers including providing subject matter expert education on billing and coding guidelines. • Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement. • Identifies and communicates trends and/or potential issues to management team. • Follows and maintains all CORE Institute policies and procedures, including those specific to billing and the Business Office. • Other duties as assigned by leadership.

Job Requirements

  • High school diploma/GED or equivalent working knowledge preferred.
  • Minimum two to three years of billing experience in a physician practice.
  • Must be able to communicate effectively with physicians, patients and the public and be capable of establishing good working relationships with both internal and external customers.
  • Prefer prior coding experience with CPC, CCS, RHIT or RHIA Certification.
  • Knowledge of government provisions and billing guidelines.
  • Advanced computer knowledge, including Window based programs.

Benefits

  • Normal office environment

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