Medical Billing Specialist

About the role

American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.

Responsibilities

• Evaluate medical claims and coverage policy documentation to determine validity for an appeal.
• Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers.
• Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards.
• Work accounts to resolution.
• Collection from patients and insurances.
• Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues.
• Work independently to identify and resolve complex client problems.
• Work with leadership to develop appropriate policies and procedures.

Requirements

• At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up.
• Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them.
• Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required.

Qualifications

• A patient-first, mission-oriented mindset.

Skills

• ICD-10 and CPT coding assessment skills.
• CPC certification is preferred.

Benefits

• Paid vacation.
• Health insurance.
• Dental insurance.
• Retailment benefit.
• Matching 401(k).

Pay

Commensurate with experience.

Schedule

TBD.

Benefits

• Paid vacation.
• Health insurance.
• Dental insurance.
• Retailment benefit.
• Matching 401(k).

Company Information

American Family Care is an Equal Opportunity Employer. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.

Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more.