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Coding and Reimbursement Specialist

Company: Kelsey-Seybold
Location: Pearland
Posted on: January 13, 2022

Job Description:

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 = preferred)
Education
A. Associates degree in Business Administration or related field or 2 years of equivalent experience.B.
Experience
A.
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 Medicaid Programs.
B.
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.
Licenses
A.
Certified Professional Coder (CPC) or Certified Coding Specialist -Physician Based (CCS-P) Certified Coding Associate (CCA)
B.
Communication
A.
B.
Special Skills
A. Understanding of EOB's, strong PC skills. Presentation skills. Excellent written and verbal communication skills.B.
Other
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 B.
WORKING ENVIRONMENTClinical

Keywords: Kelsey-Seybold, Pearland , Coding and Reimbursement Specialist, Other , Pearland, Texas

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