Fast Lab Tech : Fast, Simple COVID Testing & More In NYC ยท 2 days ago
Telehealth Billing Specialist
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Hospital & Health Care
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Responsibilities
Accurately review patient demographics and insurance information.
Verify insurance coverage and benefits for telehealth services.
Prepare and submit clean claims to insurance companies, Medicare, Medicaid, and other payers.
Research and resolve denied claims, including appealing denials and negotiating with insurance companies.
Monitor and follow up on outstanding claims to ensure timely reimbursement.
Maintain accurate records of all claims processing activities.
Identify and report any potential billing or coding issues.
Stay current on all relevant coding and billing regulations and guidelines (e.g., CPT, ICD-10).
Create and implement audits and other compliance activities as needed.
Act as primary contact for outsourced billing company.
Contribute to process improvement initiatives within the department.
Prepare and submit EDI enrollment with clearinghouse when necessary.
Qualification
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Required
High School Diploma or equivalent
Minimum of 5 years of experience with telehealth billing and coding
Proficient in Waystar billing software
Certification in Medical Billing &/or Coding
Proficiency in medical terminology, CPT, ICD-10, and HCPCS coding
Experience with electronic health records (EHR) systems and practice management software
Strong analytical and problem-solving skills
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Detail-oriented with a high degree of accuracy
Proficient in Google Suite
Extensive knowledge of HIPAA
Preferred
Associate's Degree in Medical Billing and Coding