Join the TeleMate Health Team: Transforming Healthcare Delivery through Innovative Solutions
At TeleMate Health, we're passionate about revolutionizing the way healthcare is delivered. Our mission is to provide personalized, holistic patient care while bridging the gaps in healthcare. We're seeking a skilled and dedicated Coding & Claims Management Specialist to join our dynamic team and help us achieve our goals.
Position Overview
As a Coding & Claims Management Specialist for Medical Provider (non-facility) at TeleMate Health, you'll play a vital role in supporting our mission to provide accessible healthcare solutions. With autonomy to establish processes and protocols, you'll have the opportunity to grow this department from the ground up. Our primary market is Tennessee and the midsouth, and we prefer to have this resource reside in this market.
Key Responsibilities
- Medical Claims Preparation and Submission: Prepare and submit medical claims to insurance companies, ensuring accurate and timely submission.
- Coding and Compliance: Identify the proper codes that correspond with services delivered, and ensure metrics are met for submission to minimize claw back.
- Claims Processing and Management: Research, correct, and resubmit claims to avoid revenue loss, and mitigate any claim issues or risks during submission.
- Collections and Reimbursement: Handle payments, track accounts receivable, and follow up on outstanding accounts, as well as reconcile reimbursements.
- Documentation and Record-Keeping: Gather and verify patient information, including insurance coverage, demographics, and consent to treat, and supply audit documents as requested.
- Patient Communication and Support: Work with patients to arrange payment options, answer questions, and address complaints, providing exceptional customer service.
- Compliance and Risk Management: Ensure compliance with best practices, policies, and procedures, and remain up to date on changes specific to claims submissions.
- Process Improvement and Optimization: Identify and implement prebilling processes that streamline and improve claim outcomes, and maximize ROI while minimizing costs.
- Collaboration and Support: Provide support to other departments and external payers, and maintain insurance credentialing and expand credentialing as needed.
Qualifications and Skills
Essential Qualifications:
- Medical Office Billing and Coding Certificate: A medical office billing and coding certificate is required for this role.
- Prior Experience: Prior experience submitting claims through a clearing house is necessary.
- Interpersonal and Communication Skills: Excellent interpersonal skills, with the ability to quickly grasp basic systems and work effectively in a team environment.
Preferred Qualifications:
- Certified Revenue Cycle Specialist (CRCS): A CRCS certification is preferred.
- Experience with ClaimEZ and ClaimMD: Experience with ClaimEZ and ClaimMD is a plus.
- Experience with Insurance Credentialing: Experience with insurance credentialing is also a plus.
What We Offer
Competitive Compensation and Benefits:
We offer a competitive salary and benefits package, including:
- Flexible Work Arrangements: Ability to work remotely with flexible work hours to promote work-life balance.
- Ongoing Professional Development: Ongoing professional development and training opportunities to help you grow in your career.
- Supportive and Collaborative Work Environment: A supportive and collaborative remote work environment that fosters teamwork and success.
Why Join Our Team?
At TeleMate Health, we're committed to transforming healthcare delivery through innovative solutions. By joining our team, you'll have the opportunity to:
- Make a Meaningful Impact: Make a meaningful impact on the lives of patients and contribute to our mission to provide accessible healthcare solutions.
- Grow and Develop: Grow and develop in your career with ongoing professional development and training opportunities.
- Work with a Dynamic Team: Work with a dynamic and supportive team that values collaboration and teamwork.
How to Apply
If you're a motivated and skilled coding and claims management professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!
Don't miss this opportunity to join our team and make a difference in the lives of patients. Apply now and take the first step towards a rewarding and challenging career with TeleMate Health!
Apply Now