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Medical Biller Insurance Coder Jobs in Colorado (NOW HIRING)

Denver Health

Coder III

Denver, CO · On-site

$28.69 - $41.60/hr

Strong knowledge of billing and reimbursement. * Possess good oral and written communication skills ... medical, dental, vision plans in addition to employer paid disability and life insurance.

Denver Health

Coder III

Denver, CO · On-site

$28.69 - $41.60/hr

Strong knowledge of billing and reimbursement. * Possess good oral and written communication skills ... medical, dental, vision plans in addition to employer paid disability and life insurance.

Valley Settlement

Medical Interpreter

Rifle, CO · On-site

Provide accurate oral and written interpretation for medical, billing, insurance, and care-related conversations. * Respond to interpreter requests across departments for patient appointments and ...

PharmcareUSA

Biller Specialist

Grand Junction, CO

$18.25 - $23.50/hr

We are seeking a Biller Specialist!! ***Competitive Pay Rates ... Medical, Dental, Vision, 401k with some matching, Life Insurance, FSA/HSA, and Paid Time Off ...

PharmcareUSA

Biller Specialist

Grand Junction, CO · On-site

$18.25 - $23.50/hr

We are seeking a Biller Specialist!! ***Competitive Pay Rates ... Medical, Dental, Vision, 401k with some matching, Life Insurance, FSA/HSA, and Paid Time Off ...

Trice Healthcare

Coding Payment Resolution Spec

Littleton, CO · On-site

$18.75 - $24/hr

... insurance company, managed care organization or other health care financial service setting ... billing/collections. * Possesses expertise in medical terminology, disease processes, patient ...

Capital Rx

Medical Coding Specialist

Denver, CO · On-site

$70K - $85K/yr

Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related ... AAPC Medical Coding & Billing Certification (e.g., CPC) required. * 5+ years of experience with a ...

Capital Rx

Medical Coding Specialist

Denver, CO · On-site

$70K - $85K/yr

Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related ... AAPC Medical Coding & Billing Certification (e.g., CPC) required. * 5+ years of experience with a ...

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Medical Biller Insurance Coder information

What is a medical biller insurance coder?

Medical Biller Insurance Coders are healthcare professionals responsible for translating medical services and diagnoses into standardized codes for billing and insurance purposes. They ensure that healthcare providers are reimbursed correctly by insurance companies by accurately processing medical claims. These coders review patient records, assign appropriate codes, and communicate with insurance companies to resolve billing issues. Their work is crucial in maintaining efficient revenue cycles for healthcare facilities and ensuring compliance with healthcare regulations.

How does a medical biller insurance coder typically collaborate with healthcare providers and insurance companies?

Medical Biller Insurance Coders work closely with healthcare providers to ensure accurate documentation and coding of patient diagnoses and procedures. They frequently communicate with medical staff to clarify information and verify records, ensuring claims are submitted correctly to insurance companies. Additionally, they interact with insurance representatives to address claim denials, resolve discrepancies, and ensure timely reimbursement. This collaboration requires strong attention to detail, good communication skills, and a thorough understanding of healthcare regulations.

What are the key skills and qualifications needed to thrive as a medical biller insurance coder, and why are they important?

To thrive as a Medical Biller Insurance Coder, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and knowledge of healthcare reimbursement processes, often supported by a certification like CPC or CCS. Familiarity with medical billing software, electronic health records (EHR), and insurance claim management systems is typically required. Attention to detail, organizational skills, and effective communication are crucial soft skills for resolving billing discrepancies and collaborating with providers and insurers. These skills and qualifications ensure accurate claim processing, timely reimbursement, and compliance with regulatory requirements, which are vital for the financial health of healthcare organizations.

What is the difference between Medical Biller Insurance Coder vs Medical Coder?

AspectMedical Biller Insurance CoderMedical Coder
CertificationsCertified Professional Biller (CPB), Certified Coding Associate (CCA)Certified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentMedical offices, billing companies, hospitalsHospitals, clinics, outpatient facilities
Primary ResponsibilitiesSubmitting insurance claims, billing patients, follow-up on paymentsReviewing medical records, assigning codes for diagnoses and procedures

While both roles involve coding and billing, Medical Biller Insurance Coders focus more on insurance claims and billing processes, whereas Medical Coders primarily assign medical codes based on patient records. Both roles require similar certifications and often work in healthcare settings, but their daily tasks differ significantly.

INSURANCE BILLING SPECIALIST

Craig, CO • On-site

The Memorial Hospital at Craig
See more jobs at The Memorial Hospital at Craigexternal

$25.04 - $37.56/hr

Full-time

Posted 5 days ago

Job description

ESSENTIAL FUNCTIONS AND BASIC DUTIES

Pay Range for this position is $25.04-$37.56 DOE

Supervisory-Specific Performance Expectations, Duties, and Responsibilities:

  • N/A

Position-Specific Performance Expectations, Duties, and Responsibilities:

  • Processes and submits health insurance claims to various insurance companies in a timely and accurate manner.
  • Ensures claims are coded correctly in compliance with the latest medical coding and billing guidelines (CPT, ICD-10, HCPCS). Collaborates with the coding and clinical departments to resolve edits and denials.
  • Maintains a working knowledge of Medicare and Medicaid as well as commercial payer guidelines and stays abreast of new policy changes.
  • Verifies patient eligibility and coverage details before claim submission and reconciles coverage denials when necessary.
  • Resolves claim edits both in the electronic medical record (EMR) and in the clearinghouse to prevent denials.
  • Follows up with insurance companies regarding denied or underpaid claims and submits appeals when appropriate.
  • Reviews insurance and patient credit balances and resolves them in a timely manner.
  • Educates patients on their billing inquiries, providing clear and accurate explanations regarding their insurance coverage and payment responsibilities.
  • Documents all actions taken with an account in the electronic medical record (EMR).
  • Performs other duties as assigned.

Organization-Specific Performance Expectations, Duties, and Responsibilities:

  • Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner.
  • Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors.
  • Adheres to the MRH attire and dress code in accordance with organizational policies and procedures.
  • Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively.
  • Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required.
  • Maintains strict patient confidentiality at all times.
  • Reports to work punctually and completes assigned duties within established timeframes.
  • Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives.
  • Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies.
  • Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff.

QUALIFICATIONS

  • Must be at least 18 years of age (21 for positions requiring driving, with a valid driver’s license).
  • Must be legally authorized to work in the United States.
  • Must successfully pass a background check.
  • Must successfully pass a pre-employment drug screen and breath alcohol test (if applicable).
  • Must complete an Employee Health meeting prior to starting employment.

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