Coding Compliance Specialist jobs in Boca Raton, FL

We are looking for knowledgeable billing and coding specialists to work with clients in Dermatology. Experience with EZ Derm and/or EMA (Modmed) are preferable. The ideal candidate will have at least 2 years of medical billing experience.

Must be skilled in the following:

· Post insurance and patient’s payments.

· Reviews claim prior to submitting to the insurance carriers

· Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensures claim information is complete and accurate.

· Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 form

· Prepares and submits secondary claims upon processing by primary insurer as needed

· Work claim denials and accounts receivables using all available payer resource.

· Answer patient questions on patient responsible portions, copays, deductibles, write-off’s, etc. Resolve patient complaints and/or explain why certain services are not covered.

· Prepares patient statements for charges not covered by insurance. Ensures statements are mailed on a regular basis.

· Work with patients to establish payment plan for past due accounts in accordance with provider policies.

· May perform “soft” collections for patient past due accounts.

· Follows HIPAA guidelines in handling patient information.

· Understands specialty authorizations and limits to coverage such as the number of visits.

· At times verify patient benefits eligibility and coverage.

· Follows standard billing procedures

· CPT and ICD-10 coding rules and guidelines

· Deductible/Co-insurance determination

· Familiarity with the claim processes of commercial payers.

· Fundamentals of Coding

Candidates with CPC or CPB preferred. Bilingual a plus.

Job Type: Full-time

Pay: $16.00 - $22.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Experience:

• Medical billing: 1 year (Preferred)

Work Location: In person