Our healthcare client in Waterbury, CT is activity hiring for a coder/biller to join their team.
Job Function: Reviewing pending charges daily to ensure accurate diagnosis and procedure coding based on documentation, and returning encounter notes to providers for clarification as needed to minimize claim denials.
Posting pending charges accurately within timely manner of provider signatures and ensuring proper archival.
Serving as a resource for physicians, administrators, and patients on coding compliance and insurance claim policies.
Acting as a liaison between patients and clinic staff regarding coding, claims, denials, and insurance-related inquiries.
Posting insurance payments daily, including manual adjustments and applying discounts, to ensure accurate patient account balances post-insurance.
Analyzing insurance accounts receivable daily, resolving issues within 10 days, documenting activities, and ensuring timely correction, resubmission, and follow-up on claims to maintain low denial rates and days in accounts receivable.
Requesting refunds from patients or insurance companies when necessary.