Medical Coding and Billing Specialist

Company: 001-Dialysis Clinic, Inc.-Nashville, TN- Corporate
Location: Jacksonville
Posted on: June 24, 2022

Job Description:

This position will be part of our speacialty practice team at Nephrology Consultants of Jacksonville. - This is a group of highly trained specialists in the field of nephrology and hypertension with many years of experience in the Jacksonville community. - We guide and care for people through the entire spectrum of kidney disease in a professional, compassionate and loving manner. - Nephrology Consultants partners with Dialysis Clinic, Inc. (DCI) to provide an integrated approach to the highest quality of dialysis care. - -Founded in 1971, Dialysis Clinic, Inc. (DCI) remains the nation's largest non-profit dialysis provider. With a team of approximately 5,000 talented and caring employees serving across the United States, DCI provides care to nearly 15,000 patients on dialysis and 3,500 patients with chronic kidney disease. Each position within DCI, from billers to administrators to nursing staff, contributes toward the goal of providing excellent patient care. -The Medical Coding and Billing Specialist is responsible for timely and accurate billing/collection of all patient charges for the Nephrology Practice Department as assigned.

• Responsible for reviewing, researching, coding, and generating billing.
• Completes and verifies ICD-10 coding for all Out-of-Office charges. Enters demographics, verifies insurance and enters charges timely and accurately to insure clean claim submission.
• Advises reception staff of need for updated demographics and acquires same from outside sources.
• Captures, reconciles, posts, and submits charges by creating, reviewing, and sending billing form.
• Communicates with providers regarding need for charge information.
• Communicates with clinical office staff and accesses hospital information to get records when needed to support claims.
• Transmits electronic claims, retrieves reports, and verifies transmission and receipt by clearing house and payer.
• Runs reports of pending claims and reviews according to schedule and performs follow-up. Releases pending claims to patient responsibility per EOB's and payment advisories.
• Responds to written, phone, and electronic inquiries from patients and payers regarding claims and files secondary claims.
• Prints and mails statements, performs collection calls, manages financial need determinations, and sets up payment plans where indicated.
• Prepares letters of appeal on payment denials or insufficient payments.
• Maintains a working knowledge of payer systems and requirements.
• Notifies appropriate supervisor(s) of issues with provider's participation with payers and / or credentialing status.
  • High School education, with additional business school or computer training required.
  • Three years' experience working with medical claims on an electronic basis is required.
  • Experience Coding & Billing for a Nephrology office preferred.
  • Direct customer service experience helpful.
  • Completion of Medical Billing & Coding training preferred - Certification preferred, but not required
  • EMR/PM experience a must, eClinical Works knowledge desired, EMR/PM system-specific -training will be provided by the EMR vendor. -DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. - If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at - -or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. -For more information about equal opportunity please see: - -;;; and.

Keywords: 001-Dialysis Clinic, Inc.-Nashville, TN- Corporate, Jacksonville , Medical Coding and Billing Specialist, Accounting, Auditing , Jacksonville, Florida