Title: Medical Billing and Coding Associate
Location: Madison, Wisconsin
Hourly Rate: $23.50 – $28.50 per hour
工作类型： 全职 全职
福利： 医疗、牙科和眼科（公司出资）、带薪休假、401k
About Ryan Brothers Ambulance 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 Ryan Brothers Ambulance medical transport services, DocGo is bridging the gap between physical and virtual care.
职责
- 与运营部门合作，解决与未开单报销、授权、医生证明声明 (PCS)、患者护理报告 (PCR) 以及保险和人口统计采集有关的问题
- Effectively code and bill ambulance transportation claims
- 负责将有关可疑文书工作的问题上报给相关管理层
- 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
- Perform internal recovery calls and manage well aged self-pay accounts
- Provide excellent customer service to all patients, Insurances & Facilities
- Review and correct all rejections in clearing house
- 履行分配的所有其他相关职责
资格：
- Medical billing experience preferred, but not required
- Ambulance billing experience (preferred)
- 具有丰富的医疗保险和医疗补助经验，了解救护车运输的医疗必要性
- Proficient in CPT and ICD-10 coding
- 获得救护车/医疗账单认证或文凭者优先考虑
- Certified Ambulance Coder (CAC) certification required within 30 days of employment (company sponsored)
EEO/AAP 声明： DocGo 是一个机会均等的雇主。我们承认并尊重所有人的基本价值和尊严。我们承诺营造并维护一个尊重不同传统、遗产和经验的环境。 DocGo 是一个平等就业机会和积极行动的雇主。我们不因种族、宗教、肤色、国籍、性别（包括怀孕、分娩或相关医疗状况）、性取向、性别认同、性别表达、年龄、受保护的退伍军人身份、残疾人身份或其他适用的受法律保护的特征而进行歧视。
上述职位说明并非旨在详细描述可能分配的大量任务，而是为了让申请人大致了解该职位的职责和期望。 随着业务需求性质的变化，该职位的基本职能也会发生变化。
