Medical Biller Arc of Anchorage. - 3.5 Anchorage, AK Job Details Full-time $25 an hour 7 hours ago Benefits Paid time off Qualifications ICD coding HIPAA Mid-level High school diploma or

GED ICD-10

Driver's License Medical billing CPT coding Training & development 2 years Communication skills Full Job Description Hiring Bonus!!! Four Weeks Paid Time Off Starting First Year.

Summary of Job Functions:

Performs medical billing to include chart review for assigning appropriate CPT and ICD-10 codes, claim preparation, claim submission, adjudication, and reconciliation utilizing The Arc of Anchorage's electronic medical record.

Essential Job Functions:

Review Claims:

Thoroughly review claims for accuracy and completeness Obtain any missing information necessary for successful billing.

Claim Preparation and Submission:

Prepare, review, and transmit claims using billing software. Follow up on unpaid claims within standard billing cycle timeframes.

Payment Accuracy:

Check insurance payments for accuracy. Contact insurance companies to address discrepancies in payments when necessary.

Secondary and Tertiary Insurances:

Identify and bill secondary or tertiary insurance as applicable.

Denial Management:

Monitor and analyze claim denials, rejections, and underpayments. Investigate and resolve billing discrepancies and claim issues. Resubmit corrected claims and follow up on appeals to ensure timely resolution.

Compliance and Documentation:

Maintain thorough knowledge of state and federal Medicaid billing regulations. Ensure compliance with HIPAA and other relevant patient confidentiality regulations. Document all billing activities, communications, and claim statuses in the billing software system.

Coding Expertise:

Assign ICD-10 and CPT codes to claims.

Service Authorization Support:

Assist in service authorization requests for behavioral health services

Continuous Improvement:

Stay informed on updates to Medicaid policies, billing procedures, and industry best practices. Participate in training sessions and professional development opportunities.

Knowledge, Skills, and Abilities:

Knowledge of CPT and ICD-10 coding Knowledge and understanding of billing procedures. Knowledge and understanding of HIPAA rules and regulations. Able to understand and explain EOBs. Knowledge of primary and secondary coordination of benefits Able to work in an integrated team. Knowledge of general billing processes and procedures required to resolve claims for payment. Intermediate understanding of Microsoft 365 applications

Education and Experience:

High School Diploma or GED:

Required. Minimum of 2 years of experience in medical billing, with specific experience in Medicaid billing Proven track record of handling claims, denials, and appeals successfully.

Behavioral Health Billing Experience or Healthcare Reimbursement Education:

Preferred.

Required Licenses, Clearances & Training:

Background checks as defined by licensing agencies. Current TB test/clearance Valid driver's license and proof of insurance Pass mandatory agency training (i.e., CPR, Mandt, Programs).

Physical Requirements:

Sitting in a normal seated position for extended periods Finger dexterity is required to manipulate objects with fingers rather than whole hands (s) or arms. Communication skills using the spoken word. Hearing within normal range Seeing - within normal parameters

Equipment Used:

Computer (Intermediate Level) Appropriate Office Equipment Ability to see within normal parameters. Ability to hear within normal range. The Arc of Anchorage is an Equal Employment Opportunity Employer