04/17/2018

Alliance Healthcare Solutions has employment opportunities open for full and part time.  Certified Professional Coders with Accounts Receivable Experience.

A successful candidates should have a good working knowledge of CPT, ICD-10, CCI edits, HIPAA, government regulations and billing processes to include working the full revenue cycle. 

Remote Office Possibilities.

Core Job Requirements:

• 3 plus years experience as a certified professional coder
• Abstract pertinent information from medical records to assign CPT, ICD-10 codes
• Charge entry into client software
• The timely submission of medical claims to insurance carriers
• Apply knowledge of insurance guidelines
• Follow-up on unpaid claims within standard billing cycle time frame
• Denial Management of claims
• Answer patient or insurance telephone inquires
• Step up budge payment plans
• Prepare unpaid patient accounts for collection
• Responsible to client A/R on daily, weekly, monthly basis

Required Strengths:

• Dependable, honest candidate that is an independent worker
• Provides excellent customer service with a positive attitude
• Accurate, timely and attention to details in all work duties
• Has the ability to be flexible in an ever changing industry
• Has the ability to organize, prioritize, and communicate clearly, verbal, and electronic
• Has the skill set to research, document, problem solve, and analyze on their own
• Has knowledge and experience in various medical billing softwares

Experience:

• A minimum of three years experience as a CPC with billing
• A/R Knowledge
• Worked within a medical office practice would be preferred

Education:

• CPC certification with current membership with AAPC

Please email your cover letter, resume, and references to lori@alliancehealthcare-solutions.com

04/13/2018

Digestive Health Associates PLC is a Patient Centered Medical Home - Neighborhood gastroenterology private practice.  It is a fast-paced environment with 11 physicians practicing.  We have three main offices and 3 satellite offices. Our head quarters is located in Farmington Hills where the Call Center resides.

Responsibilities:

• Coordinating scheduling procedure with patient, physician schedules, hospital and ambulatory centers
• Educating patient on the prep for their procedure and its proper use
• Verifying, patient's history, medications, past procedures, current health issues, and allergies
• Complete boarding forms for submission to the appropriate surgical facility
• Completing procedure packet and sending them to patient by email or through mail
• Answering all patient questions about their procedure
• Following up on all referrals from outside providers for procedures, and sending letters to PCP if unable to schedule patient
• Blocking surgery schedules based on instructions by manager or physician
• Recognizing outstanding balances and making sure they are paid prior to scheduling procedure
• Confirming procedure appointments
• Maintain strict patient confidentiality by following HIPAA procedures

Qualifications:

• Ability to multi-task (answering multiple phone lines, taking messages, scanning, faxing)
• Strong customer service, organizational, and communication skills
• Basic computer skills (typing, data entry, Outlook)
• Previous procedure scheduling experience a must
• Knowledge of medical terminology, CPT, and ICD-10 codes
• Time management skills
• Ability to communicate with physicians, management, and patients
• Strong attention to detail
• Team player
• Exercise confidentiality, knowledge of HIPAA
• Demonstrates an ability to work closely with a variety of people while effectively using problem-solving skills
• eClinicalWorks experience a plus, but not mandatory

To apply, fax resume to 586-573-8979 attention Kelly..

04/03/2018

Position Purpose:

• Under general supervision, reviews, analyzes, and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete.
• Accurately codes ambulance/medical procedures for providers to ensue proper reimbursement.
• Providers education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS, and CPT codes.

 Essential Duties:

• Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
• Receives hospital information to properly bill provider services for hospital patients
• Supplies correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided
• Supplies correct HCPCS code on all procedures and services performed
• Supplies correct CPT code on all procedures and services performed
• Contacts providers to train and update them with correct coding information
• Attends seminars and in-services as required to remain current on coding issues
• Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies
• Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
• Maintains all mandatory in-services Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct.
• Reports compliance problems appropriately.
• Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
• Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered.
• Reviews the records for compliance with established reimbursement and special screening criteria.
• Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code Performs other related duties, which may be inclusive, but not listed in the job description

Employment Standards Education & Qualifications:

• High School Diploma or equivalent required.
• Medical Coding Certificate - RHIT or CPC certification is required.
• Excellent interpersonal oral and written skills.
• Two years’ experience using ICD-9-CM, CPT, HCPCs or equivalency.
• Must be able to work with high volume of work while maintaining attention to detail and accuracy.
• Computer competency
• Knowledge Of Federal laws and regulations affecting coding requirements Principles, practices and methods of current coding certificate required Modern office practices, etc.
• Knowledge of billing practices required
• Knowledge of medical records, EHR required Extensive knowledge of medical coding conventions and rules established by the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
• Must have good math skills and effective communication skills.

Abilities and Responsibilities:

• Responsibility, Skills, And Difficulty Of Work Perform coding work requiring independent judgment with speed and accuracy
• Examining and verifying coding errors through audits
• Required in-services Communicating clearly and concisely, orally and in writing Confidentiality
• Ability to use the computer
• Ability to work independently to accomplish assigned work in a timely manner
• Ability to communicate with staff and the public, both in person and over the telephone, in a tactful manner and under difficult situations
• Understanding and carrying out verbal and written directions
• Follow Versatile Revenue Management policies and procedures
• Works independently in the absence of supervision
• Personal Work Relationships Maintain strict Versatile Revenue Management confidentiality.
• Works daily with staff, vendors, and public for the purpose of giving and receiving factual information.
• Follows Versatile Revenue Management policies and procedures.
• Must plan one’s own work such that it is accomplished in the allocated time.
• Works in cooperation with other clinic staff and the public

Physical Demands And Work Environment:

• Works under pressure and stress due to the diversity of our industry.
• Work is performed indoors in a heated, air conditioned, well lighted and clean office setting.
• Requires ability to distinguish letters, numbers and symbols.
• Requires normal range of vision.
• Requires awareness of personal limitations and flexibility.
• Some emotional stress resulting from diversity and intensity of patients and staff.
• Requires prolonged standing or sitting.
• Occasional travel required

To apply, follow this link: https://www.ziprecruiter.com/job/91a44054

03/20/2018

Small family practice office is looking for an experienced Billing Specialist. 

Prefer a CPC but will consider three to five years of related work and experience in medical billing including medical terminology, procedural and ICD-10 coding, working with BCBS, Medicare, and HMO/PPO claims processing.

• Position is part-time, 25-30 hours per week.
• Salary commensurate with experience

To apply, send cover letter and resume via email at drwulffoffice@gmail.com

03/14/2018

The Patient Accounts Manager is primarily responsible for leading and planning the billing operations for a large ophthalmology medical practice.  This individual oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.

The area of responsibility includes a medical practice, ambulatory surgery center and retail topical.  The Patient Accounts Manager (PAM) serves as the billing department expert and go-to person for all coding, billing, payment and collections processes.

Primary Responsibilities:

• Manage the selection, training, and development of the billing department staff
• Billing staff reports directly to the PAM, thus this includes the day to day supervision of the staff
• Maintaining a team environment to help achieve department and company goals
• Remain educated on coding and billing updates and requirements from insurance companies by participating in professional development activties
• Educates appropriate staff throughout organization
• Keeps informed on latest technology advances for revenue cycle management functions to enhance workflow and create a better patient experience
• Provides meaningful information the status of the practice accounts receivable to clinic administration
• Attentively monitors the aging of the accounts receivable
• Creates action plans with billing staff to resolve accounts receivable issues and meet defined benchmarks
• Develops and enforces standard operating procedures designed to guide staff in performing in a consistent, efficient, and effective manner
• Communicates effectively with billing software provider to report, understand, analyze and resolve electronic billing process issues
• Assists staff int eh handling of customer concerns in a timely, calm, and effective manner with highest level of customer service attainable
• Key member of the compliance team to ensure accuracy of medical record and subsequent billing and payment activies
• Responsible for provider credentialing to ensure that it is maintained with all insurance companies
• Develops annual departmental budget and departmental goals

Experience:

• Bachelor's degree in Management, Business Administration or related field or a combination of education and experience from which comparable knowledge, skills and accomplishments have been acquired
• minimum of 3 years of experience in management of staff
• 5 years of increasing responsibility in health care accounts receivable work
• Billing Software is required
• Billing of professional and facility claims in the ophthalmology field is preferred

Additional Skills:

• Must be proficient in the use of Microsoft Office products, especially Excel
• Continuous process improvement skills are high desirable for this position

To apply, email cover letter and resume to hr@shorelinevision.com

03/06/2018

Experienced Medical Billing Specialist wanted for a busy Radiology Billing Service.

Benefit package including health insurance, vision, dental, 401K, long and short term disability.

Please send resume to j.mrozinski@dexioscorp.com