Medical Biller/Coder/Appeals

Checking Codes & Filing Appeals. Follow up with insurance carriers with regards to outstanding claims/not paid. Filing appeals with insurance carriers for timely filing denials, letters of medical necessity, and coding issues. Filing secondary and tertiary billing. Removing Zelis discounts. Removing Dataisight discounts. Managing refund requests. Determining if claims were properly paid with in network and out of network providers. Dealing with Blue Cross and Blue Shield pre-payment audits for evaluation and management codes. Medical coding. Medical Billing. Denial Management. Proficient in English. Able to draft and write appeals based on denials. Able to proofread daily SOAP notes to determine if documentation is sufficient to substantiate CPT codes being billed. Knowledge of PT and CMT codes such as 98940-98943, 97011-97140. How to use modifiers -AT, GA, GY. Knowing rules on billing Medicare. This is a chiropractic office in the state of New Jersey where scope of practice limits what can be billed. Able to file appeals with all carriers including Federal Medicare program with Novitasphere. Need knowledge of how to use ChiroTouch EHR program, OfficeAlly, Availity, Novitasphere. We are located in Eastern Standard Time, time difference 13 hours, and you need to be able to call insurance companies between 8am to 7 pm EST. You need a Skype account to make calls. I use Clockify to track your work time.