Billing Coder & Billing Collections Specialist

Position Summary

Evergreen Family Health is seeking a detail-oriented and dependable Billing Coder & Billing Collections Specialist to join our team. This position plays a critical role in ensuring accurate medical coding, timely claim submission, payment posting, denial follow-up, and patient account collections while supporting the financial health of the organization and excellent patient service.

The ideal candidate is organized, proactive, and comfortable working collaboratively with providers, billing staff, and insurance companies to resolve claim and payment issues efficiently.

Responsibilities

Medical Coding & Claims

Review and accurately code medical visits, procedures, and services using CPT, ICD-10, and HCPCS codes
Ensure coding compliance with payer and regulatory guidelines
Submit and review electronic claims for accuracy and completeness
Identify and correct claim edits, rejections, and denials
Work collaboratively with providers regarding documentation and coding clarification needs

Billing & Collections

Follow up on unpaid, denied, or underpaid insurance claims
Communicate with insurance companies regarding claim status, appeals, and payment discrepancies
Assist patients with billing questions and payment arrangements in a professional and compassionate manner
Monitor accounts receivable aging and prioritize collection efforts
Post payments and adjustments accurately
Maintain thorough documentation of billing and collection activity

General Responsibilities

Support workflow improvements and revenue cycle efficiency initiatives
Maintain confidentiality and compliance with HIPAA regulations
Assist with additional billing office duties as needed

Qualifications

Previous medical billing and/or coding experience required
Knowledge of CPT, ICD-10, and HCPCS coding systems
Experience with insurance follow-up and collections preferred
Familiarity with electronic medical records and practice management systems (experience with eClinicalWorks preferred)
Strong attention to detail and organizational skills
Excellent communication and problem-solving abilities
Ability to work independently while collaborating effectively with a team

Benefits

Competitive compensation based on experience
Paid time off and holidays
Hybrid work schedule
Retirement plan and additional benefits for eligible employees
Supportive, team-oriented work environment

Evergreen Family Health

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