Medical Billing and Coding Associate

Title: Medical Billing and Coding Associate 

Location: 16-70 Weirfield St. Ridgewood, NY 11385
Employment Type: Full-Time, Hourly 
Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, Weekly pay, PTO & 401k 
Pay Range: $20-25/hr (based on experience) 

About Ambulnz by DocGo:    
DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with DocGo's integrated Ambulnz medical transport services, DocGo is bridging the gap between physical and virtual care.  

Responsibilities: 

• Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues 

• Responsible for escalating concerns regarding questionable paperwork to appropriate management 

• Contact payers to verify claim status via phone or web and follow up on unpaid claims 

• Process appeals on aged insurance claims/denials 

• Ability to analyze, identify and resolve issues which may cause payer payment delays 

• Identify and resolve claim edits through understanding of billing guidelines and payer requirements 

• Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate 

• Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable 

• Review all EOBs for correct payment, deductible, adjustments, and denials 

• Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment 

• Reconcile account balances, and verify payments are applied correctly 

• Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner 

• Follow up on appeals/corrected submitted claims 

• Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding 

• Review and audit customer service account inquiries 

• Receive inbound/outbound customer service call 

• Provide excellent customer service to all patients, Insurances & Facilities 

• Review and correct all rejections in clearing house 

• Perform all other related duties as assigned