Job Description

Job Description

LifePoint Health- Health Support Center

Pacific Medical Data Solutions, a LifePoint Health company, is a rapidly growing nationwide revenue cycle management services provider that has been offering high quality medical billing services since 2004. Headquartered in the Denver Tech Center, we offer a rewarding work environment with career advancement opportunities while maintaining a small company, employee-focused atmosphere.

We are looking for positive, energetic team members who want to grow with us as we acquire new clients! Each new client results in additional staffing needs so we are continually looking to add to our team!

We are currently searching for a Medical Billing Associate. Ideal candidates will be experienced and knowledgeable in the entire medical billing process. The primary responsibility for this role is the follow-up and resolution with insurance carriers to facilitate appropriate reimbursement on submitted medical claims, as well as review denials and proceed with appropriate action to obtain payment. Prior knowledge and experience with CPT and ICD-10 codes is required. This position also requires great customer service skills and the ability to communicate effectively with patients and physician offices. The right candidate will be dependable, reliable, demonstrate accuracy, resourcefulness and thoroughness in performing work assignments, as well as work independently and in a team environment. Additional skills include being able to identify, analyze & solve problems, and multi-task.

ESSENTIAL FUNCTIONS:

Responsible for assisting Revenue Cycle Services, and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed. Monitors and analyzes current industry trends and issues for potential organizational impact. Provides clear short- and long-term direction, guidance, and leadership to staff, managers, and executive teams related to revenue benefits and audit findings, advice and recommendations. Performs related duties as assigned.

Job Requirements

QUALIFICATIONS:

3-5 Years Medical Accounts Receivable Experience

ICD10 and CPT Knowledge

Ability to learn new processes and procedures quickly

Strong organizational skills

Ability to work in a team environment

Computer Skills: Excel, Word, Outlook, Medical Billing Software Systems

High-School Graduate or Equivalent

Knowledge of full cycle revenue

Thorough knowledge of ICD and CPT application, correct practices, and tools utilized within the healthcare industry, as well as audits.

Ability to read and interpret documents, medical records, and other documentation related to medical claims.

Pay Range: $18-20/hour DOE

LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans status or any other basis protected by applicable federal, state or local law.