Remote Medical Coding and Billing Specialist

Summary

Join Pomelo Care as a temp role to support billing and coding projects, including reviewing claims, reporting on aging encounters, and reconciling ERAs. You will collaborate cross-functionally to identify and update missing patient demographic and insurance data. With 3+ years experience in revenue cycle support role and 2+ years outpatient medical coding experience, you will have a profound impact on the patients we serve.

Requirements

• 3+ years experience in revenue cycle support role
• 2+ years outpatient medical coding experience preferably in primary or maternal care
• Coding certification not required but a plus
• Proficiency in using medical billing software and EHR systems
• Proficient in Microsoft Excel and/or Google Sheets

Responsibilities

• Reviewing and submitting claims within payor guidelines to ensure timely and accurate filing
• Reporting on aging encounters, and partnering with clinicians to resolve them, ensuring compliance with internal best practices
• Querying clinical team to obtain additional, clarifying documentation to improve the completeness of encounter data
• Resolving and appealing claims denials, and working with the Revenue Cycle Manager to improve workflows and optimize our claim submission process
• Reconciling ERAs by resolving holds, manually posting payments and adjudicating claims
• Collaborating cross-functionally to identify and update missing patient demographic and insurance data

Benefits

Competitive salary range of $20-$25 per hour