Billing and Coding Specialist (Montgomery)

Published: May 1, 2021

Job Type Full Time

Job Classification Exempt

Job Location Montgomery, Alabama

Minimum Education Associates or Bachelor’s degree in healthcare or business – related field is preferred. In lieu of degree, applicable experience of three (3) or more years’ experience with denial management, medical billing and coding, and accounts receivables.

Work Experience Knowledge of clinical operations, charge creation, processing, and reconciliation in an healthcare environment. Third party payer and billing system knowledge is required.

Job Duties

  • Develop a solid understanding of MAO’s billing process in order to strategically review and analyze A/R functions.
  • Prepare and analyze reports of audit reviews and performance issues with a focus on identifying trends, participate in continuous quality improvement initiatives.
  • Updates Manager of Patient Revenue of any concern regarding trends where payer issues are identified.
  • Prepare and analyze A/R reports for financial statement purposes.
  • Modify processes and procedures to prevent claim rework.
  • Prepares and sends statements to patients at scheduled intervals
  • Monitor aging reports of past due accounts. (Bad debt adjustments)
  • Research and reconcile patient’s accounts.
  • Reviews accounts appealed to managed care companies to recover lost revenue.
  • Utilizes payer portal websites, client patient account systems, internal technology to continually validate activity, payment accuracy, and account status.
  • Posting of insurance payments to accounts.
  • Contacts appropriate managed care organizations to ensure expeditious processing of underpayment/overpayment appeals.
  • Ability to review medical charts and write appeals to resolve denials.
  • Ability to review pre-certifications, referrals, and re-submit medical records with claims.
  • Ability to audit accounts to verify payments are made according to contract.
  • Provides denial reports monthly, and as requested, of all denial activity with outcomes.
  • Stays abreast of updates and changes to regulatory billing updates, regulatory requirements, and organizational compliance policies in an effort to avoid denials.
  • Builds successful relationships with co-workers and patients.
  • Perform other duties as assigned.
  • Participate in continuing education of applicable software and hardware.

Minimum Qualifications

  • Associates or Bachelor’s degree in healthcare or business – related field is preferred.
  • Billing and coding certifications preferred through AAPC or AHIMA.
  • Quality control auditing and analysis experience preferred.
  • In lieu of degree, applicable experience of three (3) or more years’ experience with denial management, medical billing and coding, and accounts receivables.
  • Knowledge of clinical operations, charge creation, processing, and reconciliation in an healthcare environment.
  • Third party payer and billing system knowledge is required.
  • Knowledge of industry standard coding and billing methodologies, including CPT, HCPCS, and ICD codes preferred.
  • Billing and coding certifications preferred through AAPC or AHIMA
  • Vaccinated Preferred

Physical/Mental Abilities

  • Ability to prioritize, multi-task, meet deadlines in a fast-paced environment and is self-motivated.

How to apply To apply, please submit resume and cover letter to DaQuentin Davis, HR Director, at DDavis@maoi.org Questions relating to this listing may also be directed to (334) 280-3349.