Medical Coder/Biller

Tribal Diagnostics is searching for a full-time Medical Coder/Biller.  The hours are Monday through Friday from 8am - 5pm and the pay range is $20 - $24 per hour depending on experience level. 

Job Summary:

As a Medical Billing Coordinator at Tribal Diagnostics, you will play a pivotal role in ensuring the accurate and timely billing of medical services to clients and insurance providers. You will be responsible for claims submission, payment reconciliation, and resolving billing discrepancies.

Duties/Responsibilities

• Prepare and submit insurance claims for medical services, adhering to billing guidelines, coding standards (CPT, ICD-10, HCPCS), and regulatory requirements.
• Verify patient insurance coverage, eligibility, and the accuracy of patient information for claims submission.
• Review and correct claims as needed to resolve issues and ensure prompt payment.
• Reconcile payments received from insurance providers with billed claims to identify discrepancies.
• Investigate and resolve payment discrepancies, denials, and rejections promptly.
• Post payments accurately to patient accounts.
• Ensure accurate and compliant billing, including proper coding and documentation for services rendered.
• Collaborate with healthcare providers to address any coding-related issues.
• Address billing inquiries from patients, providing explanations of charges and assisting with payment arrangements.
• Maintain a high level of professionalism and customer service in all interactions.
• Follow up with insurance companies on outstanding claims, appeals, and authorization requests.
• Track and analyze denial reasons and trends to identify areas for improvement.
• Documentation and Reporting:
• Maintain accurate and organized billing records, including claims, payments, and denials.
• Generate and analyze billing reports to track billing and collections performance.
• Stay updated on healthcare billing regulations and coding changes, ensuring compliance with all relevant billing and privacy regulations, such as HIPAA.

Education and Experience:

• Bachelor's degree in finance, healthcare administration, or a related field (or equivalent experience).
• Previous experience in laboratory billing, medical billing, claims processing, or revenue cycle management.

Required Skills/Abilities:

• Proficiency in using billing software and Microsoft Office Suite, particularly Excel.
• Knowledge of medical billing codes (CPT, ICD-10, HCPCS) and insurance billing procedures.
• Strong analytical, problem-solving, and attention-to-detail skills.
• Excellent communication and interpersonal skills.

Physical Requirements:

• The ability to move within the office environment, including sitting, standing, and walking, as necessary to perform job duties and interact with colleagues.
• Extended periods of sitting at a desk or computer workstation while performing billing tasks, data analysis, and administrative work.
• Effective verbal and written communication skills for interacting with coll