Dermatology & Skin Surgery Center of Princeton,LLC Hiring for Medical Biller/Coder Specialist Full Time

We are looking to hire full time, experienced, Medical Billing Specialists to join our team.

The successful candidate will be personable, intelligent, and a dynamic team player, with excellent customer service and phone handling skills, and at least three years of work experience in a similar practice dermatology. Please notice this is NOT a remote position; the work is onsite

We offers a very competitive compensation package based on qualifications and experience, along with a full array of benefits, that include comprehensive medical, dental insurance, generous vacation and sick pay, as well as a 401K Plan.

Our single specialty dermatology practice provides medical care treating all types of skin conditions and problems. We provide skin cancer detection and treatment. We also offer highly specialized surgical services including Mohs Micro graphic Surgery, laser treatments, cosmetic facial treatments. We strongly believe that people are our greatest asset, and we strive to challenge them professionally and to provide opportunity for growth within the organization.

JOB SUMMARY:

Responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up with an emphasis on maximizing patient satisfaction and profitability. Responsible for reviewing the patient demographic information in the practice management system to ensure accuracy and to provide feedback to the manager. Responsible for reviewing the physician’s coding to ensure accuracy, timely payments, and to maximize revenue. Responsible for submitting insurance claims.

This position requires a comprehensive understanding of accounts receivable management in a healthcare setting. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and pre-certification procedures. Also required is a strong working knowledge of CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines. Strong customer service, organizational and communication skills are essential to this position. In addition, this position requires an ability to prioritize multiple tasks simultaneously in an occasionally stressful environment. Also required are general computer skills, typing skills and a working knowledge of Medicare Compliance.

EDUCATION:

High school diploma or GED is required. Certification as a Professional Coder highly desired.

EXPERIENCE:

Requires a minimum of 3 years of Dermatology accounts receivable experience preferably.

Knowledge of CPT and ICD-10 coding. CPC coding certification a plus.

ESSENTIAL FUNCTIONS :

Review charges related to the assigned physician’s professional services into the practice management system in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction.

Post all payments for services into the practice management system including co-payments, insurance payments, and patient payments with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. All payment batches must be balanced. Maintain daily posting log and to manager.

• File payment batches and explanation of benefits by batch date for quick reference.
• Review the physician’s coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
• Provide customer service both on the telephone and in the office for all patients and authorized representatives regarding patient accounts
• Verify all demographic and insurance information in patient registration of the practice management system at the time of charge entry to ensure accuracy, provide feedback to manager.
• Follow-up on all outstanding insurance claims with an emphasis on maximizing patient satisfaction and practice profitability.
• Follow-up on all outstanding patient account with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged s.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers and subordinates.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Submit primary and secondary insurance claims to ensure timely reimbursement.
• Attendance at relevant seminars to remain abreast of current issues regarding accounts receivable, Medicare Compliance and HIPAA.
• Recommend accounts for outside collection when internal collection efforts fail.
• Process refunds to insurance companies and patients.
• Reconcile the incoming deposits to ensure timely payment posting.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
• Monitor the supply and quality of forms, envelopes and supplies as required to perform job functions.
• Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, s and ledger inquiry.
• Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
• Maintain an organized, efficient and professional work environment.
• Adhere to all practice policies related to HIPAA and Medicare Compliance.
• Other duties as assigned.

ABILITIES:

• Ability to establish/maintain cooperative working relationships with staff and providers.
• Ability to communicate effectively and in a professional manner.
• Ability to prioritize and multi-task.

Job Type: Full-time

Pay: $20- $25.00 per hour (Based on Experience)

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Plainsboro, NJ 08536: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 3 years (Required)

Work Location: One location