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We are looking for an experienced Medical Biller/ AR specializing in medical operations to oversee revenue cycle processes and coding compliance. In this long-term contract role based in Scranton, Pennsylvania, you will play a critical part in ensuring the quality and integrity of medical billing and coding practices while maintaining compliance with federal and state regulations. This position offers an excellent opportunity to collaborate with healthcare professionals and drive operational excellence.
Job Responsibility:
Perform multi-specialty coding with precision to ensure timely submission of claims
Coordinate with clinical teams to address claim appeals, denials, and resolutions effectively
Develop and implement an audit process to validate clinical documentation and coded data integrity
Provide prompt responses to inquiries from patients, payers, and staff regarding claims and account submissions
Supervise the daily tasks of billing specialists to maintain workflow efficiency
Monitor accounts receivable over 120 days and implement strategies to reduce outstanding balances
Conduct trend analysis to ensure compliance with payer reimbursement agreements and resolve discrepancies
Prepare and analyze monthly aging reports to support financial oversight
Establish best practices to uphold data integrity and quality throughout the revenue cycle
Lead staff training initiatives to promote adherence to industry standards and compliance requirements
Requirements:
Extensive experience in medical billing and collections
Proficiency in multi-specialty coding practices
Certified Coding credentials are required
Familiarity with federal and state medical billing regulations
Strong analytical skills for trend analysis and audit processes
Proven ability to supervise and manage billing teams effectively
Excellent communication skills for collaboration with healthcare providers and payers
Attention to detail and commitment to maintaining data accuracy
What we offer:
medical, vision, dental, and life and disability insurance