Senior Medical Billing & Coding Specialist

  • Post Date : May 4, 2024
  • Apply Before : September 4, 2024
  • Salary: $65.00 - $85.00
  • 0 Application(s)
  • View(s) 37
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Job Detail

  • Job ID 417
  • Offered Salary 5459
  • Experience 7 Years
  • Gender Male
  • Industry Development
  • Qualifications Degree Bachelor
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Job Description

About Us:
Lifemed is transforming healthcare claims lifecycle, by bridging the entire journey from patient check-in to claim adjudication with modern technologies. Our comprehensive suite offers products to elevate patient check-in experiences, automate claims management and expedite claims payment processing.
Our solution comprises a neural network, fully autonomous Revenue Cycle copilot AI which empowers healthcare institutions to achieve unparalleled efficiency and robust financial health.
We are looking for a Medical Billing Specialist who will play a pivotal role in guiding our product and data teams with expert insights and knowledge in medical billing practices.
Role Overview:
The Senior Medical Billing Specialist will serve as a subject matter expert in RCM management and medical billing processes, including claim submission, Claim Coding, appeal processes, and interactions with payors and clearinghouses. This role involves collaborating closely with our product development and data analysis teams to ensure the accuracy, effectiveness, and compliance of our AI solutions.
Key Responsibilities:

Provide expert knowledge on medical billing processes, including coding, claim submission, payment posting, claim denial management, and appeal procedures.
Must be adept at understanding and interpreting denial and rejection codes, identifying the underlying reasons, and advising on best practices to avoid such denials and rejections in the future.
Work closely with product managers to translate medical billing rules and requirements into technical specifications for development.
Collaborate with data and product teams on identifying and analyzing claims for appeal submissions.
Provide training and support to internal teams on medical billing concepts and processes.
Has a technology first mindset and is committed to making processes more efficient and automated when possible.

Qualifications:

Minimum of 5-7 years of experience in medical billing, with a thorough understanding of the end-to-end billing cycle, including claim submission, denials, appeals, and payment processing.
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or a similar credential from a recognized accrediting body is required.
Provide expertise in ICD-10-CM, CPT®, and HCPCS Level II coding systems to guide application development and training of AI and machine learning models.
Knowledgeable on coding guidelines and reimbursement reporting requirements, including Medicare, Medicaid, and private payer policies.
Experience working with various payers and familiarity with clearinghouses.
Knowledge and experience with healthcare IT systems, EHRs, and medical billing software.
A degree in healthcare administration, health information, computer science, or advanced certifications in medical billing is a plus.
Facilitate training sessions for the technology team on medical billing and coding concepts, updates, and best practices.

Why Join Us:

Be part of an innovative team that is changing the landscape of healthcare administration.
Opportunity to work on cutting-edge AI technology with a direct impact on improving healthcare processes.
Competitive salary, comprehensive benefits, and a remote working environment.

Job Type: Full-time
Pay: $65,000.00 – $85,000.00 per year
Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Schedule:

Monday to Friday

Work setting:

Remote

Work Location: Remote

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