Billing Coordinator - Mom & Baby
- Resolve incoming rejections for the Mom & Baby division
- Analyze rejection data and insurance payment trends to identify patterns, trends, and the root cause
- Correct claim data as per payer requirements (e.g., modifiers, diagnosis codes, HCPCS, NPI, etc.)
- Maintain detailed records of all rejection cases, resolutions, and follow-up actions
- Verify eligibility, coverage, and authorization when needed to prevent future denials
- Assist with other projects for claims that have been denied or rejected
- Collaborate with our billing team and leadership
- Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
- Compliance is a condition of employment and is considered an element of job performance
- Maintain HIPAA/patient confidentiality
- Regular and reliable attendance as assigned by your schedule
- Other job duties assigned
- Relentless Curiosity: Proactively seeks out opportunities for process improvements.
- Entrepreneurial: Identifies and acts on new opportunities with a willingness to take calculated risks.
- Obsession to Learn: Actively seeks out opportunities to learn and grow and identifies areas for self-improvement.
- Confidently Humble: Freely admits knowledge gaps and seeks help from team members, and regularly solicits feedback.
- Strategic: Makes decisions and takes actions with a broader organizational impact.
- Transformative: Constantly seeks ways to improve and actively pursues growth opportunities.
- Tech-Savvy: Keeps up to date with modern technology and regularly develops and refines processes within the team.
- Commitment to People Development: Shows passion for developing talent through regular training and mentoring.
- Relationship Focused: Proactively builds relationships across the organization.
- High school diploma or GED
- Ability to understand difference between HCPCS, CPT, and ICD-10 codes
- Familiarity with payer portals, EDI systems, and clearinghouses
- Ability to multi-task
- Exposure to Google suite, Microsoft platforms
- Family Forward Certified
- Great Place to Work Certified
- Inc. 5000 Best Place to Work award winner
- HME Excellence Award
- Sky High Growth Award
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