Medical Coding Manager Jobs in Hurricane, WV (NOW HIRING)

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Patient Accounting Liaison is responsible for professionally handling inbound calls for primary reasons such as collecting patient past due self-pay balances, establishing patient payment plans, accurately reviewing, and answering questions about the patient statement, reacting to accounts receivable and coding concerns, and assessing financial hardship.

Primary Duties & Responsibilities:

• Handle a high volume of inbound calls (typically a minimum of 75 calls daily) from patients across the UUG practices.

• Collect past due balances by utilizing effective communication and negotiation skills.

• Provide accurate and comprehensive responses to patient inquiries regarding billing issues, payment plans, and financial hardship programs.

• Assess patients' financial situations to determine eligibility for financial hardship programs and establish approved payment plans.

• Review accounts receivable and coding issues to ensure accuracy and resolve any discrepancies.

• Adhere to predetermined schedules and meet performance targets, including monthly and daily collection goals.

• Collaborate with internal departments to resolve complex billing issues.

• Escalate unresolved patient issues to the appropriate management level for further investigation and resolution.

• Enter or edit data for registration, insurance, charges, payments, adjustments, or electronic/paper billing to maintain a database of patient information.

• Other duties as assigned to support both inbound/outbound process for the Patient Accounting Liaison teams (Patient accounting & Pre-Collections Team).

• Care Harmony: this position may involve working on the Care Harmony project. The following tasks (but not limited to) are:

  • Escalated patient calls.

  • Placing tickets with Care Harmony:

    • Medicare credits- monthly.

    • Patients requesting opt out of program.

  • Review of denials from Care Harmony.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

Qualifications:

• Minimum High School Diploma or GED required.

• Minimum of five (5) years of medical billing and insurance claim filing experience.

• Previous experience in a call center environment is highly desirable.

• Strong knowledge of accounts receivable processes and medical coding.

Knowledge, Competencies & Skills:

• Excellent communication and interpersonal skills, with the ability to handle challenging conversations with empathy and professionalism.

• Detail-oriented with a high degree of accuracy in data entry and documentation.

• Proficiency with Microsoft Office 365 (Word, Excel), computer software & database.

• Attention to detail and willingness to learn.

• Ability to navigate through multiple technology programs simultaneously while speaking on the telephone.

• Maintain HIPAA compliance.

• Multitasking and proactive problem-solving.

• Ability to type a minimum of 40 words per minute.

Tech Requirements for the Job:

• High-speed, reliable internet connection to ensure uninterrupted communication and access to necessary systems and tools.

• Quiet and private work environment to maintain the confidentiality of patient information and minimize background noise during calls.

• Proficiency in using remote collaboration tools, such as video conferencing software, instant messaging platforms, and customer relationship management systems.

• Compliance with all security and privacy policies and protocols, including safeguarding patient information and maintaining HIPAA compliance.

Direct Reports:

• N/A.

Travel:

• This position is fully remote; no travel is required.

Physical Requirements for the Job:

• Regularly required to sit and stand for extended periods.

Job Type: Full-Time

Pay Range: $19.00 - $24.00 per hour

Actual compensation offered to candidates is based on work experience, education, skill level, and geographic location. Compensation may vary depending on the state or region in which the position is located, in accordance with applicable laws.

This position has no close date. Applications will be accepted until an offer has been extended and accepted.

Equal Opportunity Employer: Our Practice is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation.

The successful candidate(s) for any UUG position will be subject to a pre-employment background check.

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