Assists the Billing Manager with claims submission and revenue cycle for a pediatric practice. Updates patient demographic and insurance information, processes specialist referrals, audits EMR charges for CPT/ICD-10/HCPCS coding accuracy, pursues outstanding or denied claims, files insurance claims daily, and responds to patient/insurance inquiries. Also handles BCMH (Bureau for Children with Medical Handicaps) applications and participates in quality improvement initiatives.
Requires a high school diploma, coding certification, and 1-3 years of medical billing office experience preferred (pediatrics experience a plus). On-site role — no remote option, and relocation assistance isn't available.