Care Center Biller

The Coding and Billing Specialist (Care Center Biller) is responsible for complete, accurate and timely processing of all designated claims. Reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized. They should understand and explain various health plan options and requirements, work back end edits and denials and submit corrected claims and appeals. They should also create claims and work front-end edits and denials in EHR system. They must review provider documentation and code for services as necessary to ensure proper charge capture, following all payer and coding guidelines, including those set forth by the AMA in the CPT, ICD-10, and HCPCS code books, CMS, and other regulatory bodies. Query providers as necessary regarding any questions that may arise in relation to the documentation provided.