RCM Coding & Billing Specialist

Description

SENTA Partners is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe  better,  Hear  better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.

Position Summary

The Coding & Billing Specialist is responsible for managing and processing charge & billing transactions for our ENT and Allergy medical practices. This role involves accurately preparing and submitting claims, resolving billing issues, and ensuring timely collections. The ideal candidate will have a keen eye for detail, strong organizational skills, and the ability to work efficiently in a fast-paced healthcare environment.

Key Responsibilities

• Ability to work individually and as a team
• Knowledgeable in CPT AND ICD-10 assignments
• Review and update charges with correct insurance when applicable
• Ensure that any authorizations that are required are attached to the claim prior to billing
• Working knowledge of insurances. Knowledgeable of payor denials, reason codes, polices and guidelines.
•  Familiar with working with Electronic Medical Records and Clearing House claim rejections. 
• Experience with all payors which includes Medicare, Managed Medicare, Medicaid and commercial.
• Maintain accurate and organized billing records and documentation.
• Perform regular audits of billing activities to ensure compliance with regulatory standards and internal policies.
• Assist with month-end closing and reporting activities.
• Collaborate with the Coding & Billing Manager, Director, and other team members to improve billing processes and efficiency.
• Stay updated on changes in insurance regulations and billing practices.

What We Offer

• Comprehensive Health Benefits (Medical, Dental, and Vision)
• Health Savings Account (HSA)
• Flexible Spending Account (FSA)
• Short & Long Term Disability
• Holidays & Paid Time Off (PTO)
• Employee Assistance Program (EAP)
• Retirement Contribution Program - 401(K) Match

Requirements

Qualifications

• High school diploma or general education degree (GED) required. 
• Minimum of one - three year experience working with medical billing procedures and insurance programs. 
• Ability to retain knowledge of general clinic practices, policies and procedures. 
• Accuracy and meticulous attention to detail is required. 
• Must be able to organize and work independently.   
• CPC preferred but not required
• Previous experience with ENT & Allergy Coding & Billing preferred but not required

Summary

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• Certain US jurisdictions require SENTA Partners to provide new employees with a reasonable estimate of the salary for this role at the location in which the job may be performed. The posted salary range reflects our best estimate at the time of posting, though it's important to remember that actual salaries may vary. Factors that determine the final salary offer include office location, experience, skills, and current organizational needs.
• SENTA Partners is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected status.