Coders responsible for performing coding and abstracting medical records at PAM Health. Ensuring accurate ICD - 10 - CM and CPT coding according to hospital procedures.
About the role
- Medical Billing Specialist executing billing operations for U.S. senior care providers and ensuring accurate reimbursements. Involves claims processing, patient billing, and collaboration with clinical teams.
Responsibilities
- Execute precise billing operations for U.S. senior care providers, ensuring accurate reimbursement across Assisted Living, Hospice, and RCFE settings.
- Claims Processing: Submit and track claims for U.S. Medicare/Medicaid and private payers, focusing on Assisted Living, Hospice, and RCFE billing requirements.
- Denial Management: Investigate and resolve claim rejections, underpayments, and coding errors (ICD-10, CPT).
- Documentation Support: Collaborate with clinical teams to ensure service documentation aligns with billing compliance.
- Patient Billing: Generate statements, process payments, and address patient inquiries.
- Reporting: Assist in generating AR aging reports and reconciliation audits.
Requirements
- Must be available to work Pacific Time (California) hours, Monday–Friday.
- Minimum 2+ years of medical billing experience within the U.S. healthcare system (senior care settings strongly preferred: ALFs, Hospice, RCFEs).
- Proficiency in U.S. Medicare/Medicaid billing rules and EHR systems (e.g., Epic, Cerner).
- Experience with U.S.-based payers and reimbursement processes is mandatory.
- Knowledge of California-specific billing regulations is a strong plus.
- Strong attention to detail and problem-solving skills.
- High school diploma required; AAPC certification (e.g., CPC, CPB) is a plus.
Benefits
- Compensation: $500 base salary, plus up to 20% monthly performance bonus.
- Fully remote working opportunity.
- Competitive compensation.
- Comprehensive medical insurance.
- Generous paid time off (PTO).
- Ongoing training in AllCare’s tech-enabled billing platforms.
- Leadership development pathways.
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