DeliverIt Group ยท 4 months ago
Certified Billing & Coding Specialist
Sugar Land, TX
Full-time
Onsite
New Grad, Entry LevelDeliverIt Group is seeking a Certified Billing and Coding Specialist to manage the financial aspects of their Infusion & Specialty Pharmacy. The role involves translating medical procedures into standardized codes for billing and insurance claims, ensuring accurate reimbursement, and maintaining patient records.
Health CareHealth DiagnosticsPharmaceuticalRetail
Responsibilities
Processing electronic claims accurately, timely, and being persistent with aging accounts
Submitting appropriate documentation for adjustments to supervisor
Working on aging accounts daily to strive for all outstanding claims either being paid within 90 days or older than 90 days
Adhering to control standards established to guide the operation of the company
Identifying outstanding accounts receivable, including hospital LOA's, Single Case Agreements with insurance companies, house accounts, and inner company invoices
Processing credit card payments and refunds
Resolving billing issues with payors
Resolving customer credit issues
Processing all medical records requests in a timely manner
Notifying the supervisor of problem accounts
Qualification
Required
Having a billing and coding certificate is strongly recommended
Knowledge of HCPCS, ICD-10, and NDC coding
Knowledge of electronic billing
Experience working on open claims in Change, Availity, and other online Insurance Portals
Excellent calculation/math skills
Ability to prioritize and handle multiple tasks and projects concurrently
Strong interpersonal and communication skills
Software proficiency in Microsoft Office, Excel, Teams, Word, and WhatsApp
The ability to maintain confidentiality regarding sensitive billing documents is required
Strong attention to detail is a must
Proficient analytical skills are a must
Preferred
Accounting experience is preferred
Experience as an Infusion & Specialty Pharmacy Technician is preferred
Experience with Wellsky's CareTend and/or CPR+ software is preferred
Proficiency in any of the following languages is highly encouraged: Spanish
Company
DeliverIt Group
DeliverIt Group was founded to provide pharmacy patients with personalized, high-quality care designed to set our services apart from the competition, including our signature delivery services.
Founded in 2011
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase