**Experienced Coder and Biller ( Fully Remote job)** **Job Summary** - Performs billing of clinical services rendered - Stays current with claims appeals process - Ability to work with a team - Ability to co-ordinate work and supervise as a team player - **General Accountabilities**: - Determines appropriate charges based on services provided. - Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. - Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. - Analyzes and maintains reports to ensure timely submission of claims. - Identifies problem accounts requiring further work. - Provides information to insurance carriers or patients regarding patient accounts. - Assists patients with billing problems. - Notifies supervisor of ongoing problems. - Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information. - Refers accounts to collectors in accordance with policy. - Performs other related duties as assigned or requested. **Job Qualifications** - Education: - Certifications: Certified Professional Biller or Equivalent - Experience: Preferred - Certification: required