Are you someone that enjoys a fast-paced, fun, and professional work environment? If so, CareSounds is the right place for you! We are looking for a passionate, driven and detail-oriented Medical/Dental Billing & Coding Specialist to join our well-established practices in the United States.

Essential Duties: May be required to do one or all of the following dependent on the business needs (including but not limited to):

• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.
• Processing claims for multiple providers using Tebra software and clearinghouse.
• Claim scrubbing
• Record review to ensure all services billed
• Provider Credentialing with insurance companies
• Reviewing accounts for insurance of patient follow-up.
• Researching and appealing denied claims.
• Answering patient or insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts.

Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

• Tebra/Kareo billing software
• Office Ally billing software
• Competent use of computer systems, software, and 10 key calculators.
• Familiarity with CPT and ICD-10 Coding.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
• Ability to work well in a team environment. Being able to triage priorities, and handle conflict in a reasonable fashion.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
• A calm manner and patience working with either patients or insurers during this process.
• Knowledge of accounting and bookkeeping procedures.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Ability to multitask.
• Ability to work under minimal supervision.

Job Types: Full-time, Part-time

Pay: $18.00 - $25.00 per hour

Benefits:

• Flexible schedule

Schedule:

• Choose your own hours
• Monday to Friday

Work setting:

• Hybrid work

Application Question(s):

• Have you used Tebra/Kareo or Office Ally software in the past?

Ability to Relocate:

• Edgewood, MD 21040: Relocate before starting work (Required)

Work Location: Hybrid remote in Edgewood, MD 21040