30 Sep
Clinical Medical Billing and Coding Coordinator
California, Eldoradohills , 95762 Eldoradohills USA

Vacancy expired!

Experis, a ManpowerGroup company, has an exciting contract opportunity with one of our key clients,

a global biopharmaceutical company that is engaged in the discovery, development, and manufacturer of healthcare products

.

Job Title:

Clinical Medical Billing and Coding Coordinator

Location:

Palmdale, CA 38440 (Onsite)

Duration:

12

+ Months

(Possible extn.)

Notes:
  • 100% in person role
  • Palmdale, CA 38440 5th Street West
  • Medical Billing Experience required
  • Pulling claims data out of backend of HER (E Clinics)
  • Adhering to timeliness and accuracy standards
  • Will work with providers to ensure coding is appropriate
  • Backup phones when needed
  • Provide reporting on billing process
  • Any special projects as they arise
  • HEDIS (preventative measures) - nice to have
  • No money collection; creating encounters and bill for data purposes only

Job Description:
  • Clinical Medical Billing and Coding Coordinator - Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.
  • Supports the Billing and Coding cycles for providers, coordination of benefits for patients, and processes claims accordingly.
  • Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require.
  • Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME.
  • Process authorization requests and facilitates referrals. Assists with system letters, requests for information and data entry.
  • Provides administrative/clerical support to medical and disease management.

Minimum Education & Experience Requirements: Requires minimum of 5 years of relevant experience, vocational or technical education in addition to prior work experience. Requires broad knowledge of operational systems and practices typically gained through extensive experience and/or education Requires knowledge of Medical Terminology, ICD10, CPT, and HCPCS coding. Knowledge of UM regulatory TAT standards. Working knowledge of EMR (Electronic Medical Records), systems. Experience within the Utilization Management Department or equivalent. Engages in professional development activities to maintain professional certification Ability to provide both written and verbal detailed prior authorization workflow instructions to outside specialists. Knowledge of clinical workflow to assist providers, medical assistants, and utilization management nurses with case creation, research issue resolution and other utilization management related functions, as necessary. Requires basic job knowledge of systems and procedures obtained through prior work experience or education. Knowledge of HIPPA guidelines, required.

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Vacancy expired!

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