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Allergy Partners PLLC
1.001 – 5.000 Angajați
Asistență medicalăB2C
Allergy Partners PLLC este o organizație medicală axată pe îngrijirea specializată a alergiilor și astmului în Statele Unite. Rețeaua sa include alergologi și imunologi care diagnostichează și tratează afecțiuni precum astmul, alergiile alimentare, esofagita eozinofilică, sinuzita, urticaria și anafilaxia. Îngrijirea poate include teste pentru alergii și evaluarea funcției pulmonare, injecții antialergice, terapii biologice, imunoterapie pentru alergii alimentare și de mediu, servicii de farmacie, asistență prin portalul pentru pacienți și cercetare clinică. Organizația combină tratamentul oferit la nivel local cu resursele unei rețele naționale și raportează o echipă de aproximativ 150 de alergologi și imunologi.
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Locurile de muncă ale companiei

Remote Billing Integrity Specialist – Allergen Immunotherapy

Supports accurate, compliant charge entry and billing for allergen immunotherapy in a remote role with Allergy Partners. Researches payer requirements, reviews medical records, resolves denials, and advises practice teams on billing policies.

USStatele Unite ale AmericiiNCCarolina de NordRemoteNormă întreagăJuniorNivel mediuNu este necesară o diplomăLimbă Obligatorie: englezăGeneralSpecialist în facturare

Descriere

  • Enter and review allergen immunotherapy charges for accuracy and compliance with federal and payer coding and billing rules.
  • Apply AP protocols and payer policies when entering CPT codes and processing bills.
  • Research payer manuals, guidelines, and billing rules, and report updates to the Supervisor.
  • Complete assigned responsibilities within established timelines and performance standards.
  • Follow applicable federal, state, and payer requirements.
  • Recommend billing process and policy improvements to the team lead.
  • Communicate with practice managers and staff about billing policies, procedures, and regulations.
  • Review medical records to determine whether refill, restart, reformulation, and new orders are appropriate.
  • Investigate and respond to internal questions about charge entry, billable services, and denials.
  • Coordinate across departments to enter charges into the practice management system according to protocols and payer guidelines.
  • Maintain detailed knowledge of payer clinical guidelines and reimbursement policies.
  • Support accounts receivable representatives with insurance denials by reviewing records, explaining billing issues, and helping coordinate resolutions.
  • Assist with billing questions and medical record reviews during pre-billing review.
  • Contribute to special billing integrity projects as assigned.
  • Complete required training and follow the Code of Conduct, Compliance Program, and department policies.
  • Handle other job-related responsibilities as assigned.
  • This role has no supervisory responsibilities.

Cerințe

  • High school diploma or GED equivalent.
  • AHIMA or AAPC coding certification preferred.
  • Two years of physician-office charge-entry or billing experience involving complex rules.
  • Two years of experience in physician-office operations.
  • Strong oral and written communication skills.
  • Proficiency with Microsoft Excel, Microsoft Word, and electronic health records.
  • Four years of physician charge-entry experience involving complex rules preferred.
  • Two years of experience billing for multiple physicians and locations preferred.
  • Experience with practice management software and electronic medical records preferred.
  • Knowledge of medical terminology preferred.
  • Experience with allergy-specialty physician billing preferred.
  • Knowledge of coding and billing complexities for specialty physician-office charge entry.
  • Ability to exercise independent judgment and handle confidential information.
  • Understanding of HIPAA and the ability to protect protected health information confidentiality and privacy.
  • Ability to analyze information and solve problems.
  • Strong communication and interpersonal skills.
  • Knowledge of regulatory and policy matters related to coding and billing.
  • Awareness of current and emerging medical billing issues, trends, and payer requirements.
  • Ability to clearly explain billing requirements to providers, practice managers, and staff.
  • Understanding of and experience with electronic health records and physician practice management and billing applications.
  • Excellent organization skills and the ability to manage multiple tasks within set deadlines.
  • Ability to communicate and collaborate effectively across departments.

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