Case Manager - Physician Practice coordinates the overall interdisciplinary plan of care for assigned patients in a physician practice setting. Acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided and that patient is making progress towards treatment goals. Being a Case Manager - Physician Practice typically requires a bachelor's degree. Must be a registered nurse(RN). Additionally, Case Manager - Physician Practice typically reports to a physician/department manager. Case Manager - Physician Practice's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Duties:
- Review and analyze medical records to ensure accurate coding and billing
- Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT)
- Verify patient information and insurance coverage for billing purposes
- Submit claims to insurance companies and follow up on any denials or rejections
- Communicate with insurance companies to resolve billing issues on unpaid claims
- Maintain patient confidentiality and adhere to HIPAA regulations
- Stay updated on changes in coding guidelines and regulations
Qualifications:
- High school diploma or equivalent required; associate's degree in medical billing or related field preferred
- Certification in medical billing and coding (such as CPC or CCS) strongly preferred
- Proficiency in ICD-10 and CPT coding systems
- Knowledge of medical terminology, anatomy, and physiology
- Familiarity with insurance guidelines and reimbursement processes
- Strong attention to detail and accuracy in coding and billing procedures
- Excellent communication skills, both written and verbal
- Ability to work independently and meet deadlines
Please note that this is a general overview of the duties and qualifications for the Medical Biller position. Additional responsibilities may be assigned based on the needs of the practice.
**Only candidates with previous medical office billing and collections experience will be considered**
Job Type: Full-time
Pay: From $20.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Application Question(s):
Experience:
Work Location: In person
Clear All
0 Case Manager - Physician Practice jobs found in Salisbury, NC area