Coding and Reimbursement Specialist
Posted on: January 13, 2022
Overview:Kelsey-Seybold Clinic, a Houston tradition in
patient-centered care, is a multispecialty clinic with over 25
locations and comprises more than 500 physicians providing primary
and specialty care in a collaborative manner.
With 55 different clinical and non-clinical specialties, you can
design a career path at Kelsey-Seybold Clinic that allows you to
grow your future in a completely new direction.
Kelsey-Seybold Clinic is changing the way health
cares.Responsibilities:Under the supervision of the Business Office
Supervisor or Business Office Manager, ensures the efficient
operation and effective reimbursement of third party account
receivables by researching accounts, correcting provider coding as
needed, abstracting information from the medical chart, and
refilling or appealing claims denied for coding-related reasons,
submitting additional medical documentation and tracking account
status by monitoring and analyzing assigned unresolved third party
accounts. Specialists will initiate contacts and negotiate
appropriate resolution (internal and external) as well as receive
and resolve inquiries and correspondence from third parties and
patients. The ability to analyze, audit and reconcile an account is
critical to this position.
NOTE: This is a "Hybrid Remote" position that works remotely the
majority of time.Qualifications:Certified Coding and Reimbursement
SpecialistLocation: Pearland Administrative OfficeDepartment:
Business Office Reimbursement CodingJob Type: Full Time
EDUCATION REQUIREMENTS & EXPERIENCE REQUIREMENTS(A = basics; B =
A. Associates degree in Business Administration or related field or
2 years of equivalent experience.B.
2-4 years ICD 10 CPT coding/abstracting and healthcare billing and
collections experience. Diversified understanding of rules and
regulations of Commercial Insurance, Part B Medicare and TDH.
Working knowledge of, commercial insurance, Medicare Part B and TDH
5-6 years of experience in health care billing and collection.
Knowledge of secondary or supplemental insurance claim filing (COB)
is a plus. Experience with EPIC.
Certified Professional Coder (CPC) or Certified Coding Specialist
-Physician Based (CCS-P) Certified Coding Associate (CCA)
A. Understanding of EOB's, strong PC skills. Presentation skills.
Excellent written and verbal communication skills.B.
A. Displays professionalism and courtesy when communicating with
patients, provider and external contacts, primarily by telephone,
displaying an attitude of proven, committed customer service as
well. Must be able to retain composure, meet deadlines, and
appropriately analyze, research, and resolve problems in a
stressful environment with constant work-related interruptions.
Must demonstrate dependability and an ability to work independently
Keywords: Kelsey-Seybold, Pearland , Coding and Reimbursement Specialist, Other , Pearland, Texas
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