DocGoNew York 10001
Full Time

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

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Medical Billing And Coding Specialist

DocGo
Full Time 35 W 35th St, New York, NY 10001, United States
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Overview

Title: Medical Billing and Coding Specialist
Location: New York, NY
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

Qualifications:

  • Must have 2-3 years of medical billing experience (required)
  • Ambulance billing experience (preferred)
  • Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation
  • Proficient in CPT and ICD-10 coding
  • Ambulance/Medical billing certification or diploma preferred
  • Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred
  • Excellent organizational skills and the ability to multitask in a fast-paced environment
  • Analytical - collects and researches data; uses intuition and experience to complement data

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position. 

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