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- Review patient claims for accuracy and completeness and proactively obtain any missing payer information for inclusion
- Appeal medical insurance claim denials in a timely manner
- Ensure compliance with procedures and coding guidelines
- Answer patient inquiries related to coverage denials and coding reviews for resubmissions as necessary.
- Communicate with clinical leadership and third-party billing company on issues regarding CPT & ICD-10 coding selections
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- Excellent verbal and written communication skills
- Outstanding organizational skills and attention to detail
- Superior time management skills with a proven ability to meet deadlines
- Knowledge of CPT and ICD-10 codes
- Ability to identify coding trends and areas of risk
- Proficient with Google Workspace, Microsoft Office Suite, or related software
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- Associate degree in business, finance, health administration or a related field preferred
- Required – Certified Professional Coder (CPC)
- 2+ years of experience in a primary care clinic setting (preferred)
- Mental/behavioral health experience is a plus
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- Proven track record with other startups or VC funded companies
- At least two years related experience required working in accounts receivable billing, or insurance, or as a customer service representative in a medical office, hospital, or call center environment
Google View Company Details | Microsoft View Company Details |
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