About the job
Join Freenet Health Corp., a dynamic healthcare management services firm dedicated to supporting telehealth and mobile practice providers with exceptional medical billing solutions. We are expanding our billing team to cater to the innovative mobile wound care practice, Woundlocal.
We are seeking: A certified clinical back medical billing professional with a robust background in Medicare billing and the verification of commercial and federal insurance benefits. The ideal candidate will excel in performing, training, and supervising the verification of patient benefits, meticulously reviewing provider documentation, delivering real-time feedback to our medical team, ensuring prompt submissions to payers, analyzing claim denials, filing appeals, and billing secondary insurance. All claims pertain to advanced wound care services and allograft skin substitutes.
Key Responsibilities:
- Guide team members on work queues, task assignments, and prioritization.
- Cultivate a positive team culture and enhance team dynamics.
- Organize internal training and collaborate with third-party educational providers.
- Provide precise answers to inquiries from providers, management, and internal staff.
- Identify internal process inefficiencies, investigate root causes, and propose effective solutions.
- Oversee expert remote coders to ensure accurate assignment of complex codes and coding scenarios.
- Analyze aging accounts receivable and lost revenue, offering actionable insights.
- Act as a liaison with third-party billing firms while developing an internal billing team.
- Promote a culture of excellence, integrity, and teamwork.
- Responsibilities, duties, and compensation will be tailored to the individual hire's experience and expertise.
Daily Competencies:
- Review and analyze medical documentation to guarantee precise coding and billing practices.
- Assign correct codes for diagnoses, procedures, and services in line with established guidelines and regulations.
- Stay current with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems.
- Collaborate with healthcare providers to clarify documentation and ensure thoroughness.
- Identify and rectify discrepancies in medical records and coding to facilitate accurate claims processing.
- Evaluate and re-submit appeals for denied patient claims.
- Remain informed on new coding regulations and modifications.
- Assist in audits and furnish necessary documentation for compliance and quality assurance.
- Disseminate coding-related information and billing updates to management and providers as changes occur.