Certified Billing and Coding Specialist

Job description

Glacier Ear, Nose & Throat, Head & Neck Surgery is an independently owned private practice that has proudly served the Flathead Valley for over 50 years. We offer a fun and collaborative work environment, competitive wages, in a beautiful location!

We are currently seeking a dedicated Certified Billing and Coding Specialist to join our growing team. The primary responsibilities of this position will include medical coding and prior authorization management. The ideal candidate will have strong analytical skills, excellent attention to detail, and a thorough understanding of medical coding, insurance requirements, and billing processes.

Knowledge of ICD-10 diagnosis coding and CPT coding is required. A coding certification, such as a CPC (Certified Professional Coder), is preferred but not required. This position has the flexibility to be fully remote or structured as a hybrid remote/in-office role; however, on-site training will be required.

In this role, you will play a key part in ensuring accurate coding, timely prior authorizations, and efficient claim processing. Your expertise will help support compliance, optimize reimbursement, and contribute to the overall success of our revenue cycle operations.

Key Responsibilities:

• Accurately and efficiently complete prior authorizations for services and procedures
• Verify patient eligibility, benefits, and authorization requirements
• Review and assign appropriate medical codes to ensure accurate claim submission
• Scrub claims for coding accuracy and compliance prior to submission to insurance companies
• Collaborate with the billing team to support all aspects of revenue cycle management
• Follow up on unpaid claims and assist with research, corrections, and appeals as needed
• Address past due accounts and work toward timely resolution
• Monitor and help maintain accounts receivable performance goals
• Maintain professional and compassionate communication with patients regarding billing inquiries and concerns
• Assist in implementing process improvements to enhance workflow efficiency and billing accuracy
• Stay current on industry regulations, payer guidelines, and compliance requirements related to coding, billing, and prior authorizations

Benefits that we offer:

• Health insurance including vision and dental
• Vacation/sick paid time off
• 401K
• Cash Balance
• Profit Sharing

Job Type: Full-time

Pay: $21.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Experience:

• ICD-10: 1 year (Preferred)

Ability to Commute:

• Kalispell, MT 59901 (Preferred)

Ability to Relocate:

• Kalispell, MT 59901: Relocate before starting work (Preferred)

Work Location: In person

Salary : $21 - $26