Revenue Cycle Specialist

Job Summary:

Envision Pain Management is seeking a detail-oriented and experienced Medical Billing and Coder to join our dedicated team. As a Medical Billing and Coder, you will play a critical role in ensuring accurate coding, timely billing, efficient collections, and overall seamless financial operations across our clinics. Join us in delivering next level care and support to our patients and team members!

Responsibilities

• Verify appropriate ICD, CPT, and HCPCS codes according to Clinicians documentation.

• Posting of ancillary charges.


• Manage and process medical claims, including preparing and submitting claims to insurance companies.


• Follows-up with insurance companies & worker's comp to ensure claims are paid/processed timely. 


• Reports on any trends or possible discrepancies that may cause claims not to be adjudicated correctly.


• Investigate and resolve any billing discrepancies or insurance-related issues, working closely with insurance providers, patients, and internal teams.


• Coordinate with patients to address billing inquiries, explain insurance coverage, and set up payment plans when necessary.


• Collaborate with the front desk and clinical staff to ensure accurate and complete patient information for billing purposes.


• Stay up to date with changes in insurance regulations, coding guidelines, and industry best practices.


• All other duties as assigned.

Qualifications

• Associate degree or equivalent experience, certification in medical billing or coding is preferred.


• Minimum of 5 or more years of experience in medical billing or coding; primary care and/or pain management experience preferred.

• In-depth knowledge of medical coding and billing guidelines.


• Proficiency in Microsoft office products.


• Proficiency in using practice management software and electronic health record (EHR) systems; AthenaOne experience preferred.


• Excellent attention to detail and accuracy in data entry and financial calculations.


• Strong problem-solving and analytical skills, with the ability to identify and resolve billing discrepancies.


• Exceptional communication and interpersonal skills, with the ability to effectively interact with patients, insurance providers, and internal stakeholders.


• Strict adherence to HIPAA guidelines

This is a hybrid position: you must be able to commute to the clinic of candidates choice - Boone, Franklin. After probationary period, the successful candidate can transition to a hybrid role.

Compensations is based upon experience, range provided for reference.

Job Types: Part-time, potential Full-time

Schedule: Monday to Friday

Benefits:

• Health insurance


• Dental, vision, STD, LTD, life & other supplemental insurances


• Paid time off


• 401k