Medical Billing and Coding Associate

Position Purpose

The Billing and Coding Associate is responsible for entering payments within an EMR system and generating invoices to be sent to the patient. This position is responsible for accurately coding medical claims and sending electronically to insurance payers each day. Handles in-bound and out-bound calls, insurance verification, assisting patients with insurance questions, and working both patient and insurance aged receivables.

Role and Responsibilities

• Collects, posts, and manages patient account payments.
• Prepares and reviews patient statements.
• Imports and balances EFT’s.
• Identifies and corrects rejected claims.
• Reviews delinquent accounts and contacts for collection purposes.
• Verifies patients’ insurance coverage.
• Answer questions regarding billing and insurance policies.
• Process payments from insurance companies.
• Follows up to see if a claim is accepted or denied.
• Reviews and appeals unpaid and denied claims accordingly.
• Evaluates medical record documentation to ensure proper CPT and ICD-10 codes are billed appropriately.
• Obtains precertification, if required, for specific procedures.
• Investigates insurance fraud and reports if found.

Qualifications and Education Requirements

Preferred Skills

Additional Notes