Job Description
Role Snapshot:
- Compensation: a competitive salary
- Position: Coding & Claims Management
- Location: Remote
- Company: Medical Provider
- Start Date: Immediate openings available
Γ
Γ
TeleMate Health Coding & Claims Management for Medical Provider (non-facility)https://telematehealth.bamboohr.com/hiring/jobs/28...
At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and fills in the healthcare gaps. We deliver individualized holistic patient care while connecting in a way thatΓΒs effective for the patient. We are seeking a hardworking and skilled coder and claims management person to join our dynamic team!
Position Overview
As a Coding & Claims Management for Medical Provider (non-facility) for TeleMate Health, you will play a crucial role in supporting our mission to provide accessible healthcare solutions. We currently do not have a dedicated resource to this space, so you will have the autonomy to establish processes and protocols to grow this department from. Our primary market is Tennessee and the midsouth. We would strongly prefer to have this resource reside in this market.
Key Responsibilities
ΓΒ Billing: Preparing and submitting medical claims to insurance companies
ΓΒ Identify the proper codes that correspond with services delivered
ΓΒ Ensure metrics are met for submission to minimize claw back
ΓΒ Submit claims directly to clearing house in a timely fashion
ΓΒ Identify and implement prebilling process that would streamline and improve claim outcomes
ΓΒ Claims processing: Researching, correcting, and resubmitting claims to avoid revenue loss
ΓΒ Mitigate any claim issues or risks during submission
ΓΒ Collections: Handling payments, tracking accounts receivable, and following up on outstanding accounts
ΓΒ Reconcile reimbursements
ΓΒ Documentation: Gathering and verifying patient information, including insurance coverage, demographics, and consent to treat
ΓΒ Supply audit documents as requested
ΓΒ Assist with resolving any discrepancies or issues related claim submissions or reimbursements
ΓΒ Compliance: Ensuring compliance with best practices, policies, and procedures
ΓΒ Remain up to date on changes specific to claims submissions
ΓΒ Identify and implement prebilling process that would streamline and improve claim outcomes
ΓΒ Comply with all safety regulations and contribute to maintaining a safe working environment
ΓΒ Patient communication: Working with patients to arrange payment options, answering questions, and addressing complaints
ΓΒ Identify and implement a process to streamline and maximize ROI v costs
ΓΒ Support: Providing support to other departments and external payers
ΓΒ Maintain insurance credentialing and expand credentialing as needed
Qualifications And Skills
ΓΒ Medical office billing and coding certificate (required)
ΓΒ Certified Revenue Cycle Specialist (CRCS) preferred
ΓΒ Prior experience submitting claims through clearing house
ΓΒ Positive team player with quick learning abilities and a strong work ethic
ΓΒ Excellent interpersonal skills
ΓΒ Detail-oriented with the ability to quickly grasp basic systems
ΓΒ Experience with ClaimEZ and ClaimMD a plus
ΓΒ Experience with insurance credentialing also a plus
What We Offer
ΓΒ Competitive salary and benefits package.
ΓΒ Ability to work remotely - Flexible work hours to promote work-life balance.
ΓΒ Ongoing professional development and training opportunities.
ΓΒ A supportive and collaborative remote work environment.
Location: Nashville, TN (Remote)
Department: Billing/Coding
Employment Type: Part-Time
Minimum Experience: Experienced Apply Job!
Γ
Ready for an Easy Start?
This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!
Apply Now