Subcontracts Administrator

Responsible for correctly coding healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.

• Answering and referring inquiries within scope of business services.
• Telephone:
  Answers telephone, processes call, and document appropriately. Returns all messages in a timely manner.
• Maintains communication between medical providers, administrative staff, and/or patient/families.

• Performs account audits of patient billing and medical records of providers
• Assigns ICD-10, CPT, and HCPCS codes based on provider documentation.
• Reviews, works, and corrects both internal errors and denials from insurance companies and re-files the claim.
• Files appeals to carriers according to prescribed guidelines, documents all information related to appeals and follows up.
• Scans and uploads patient clinical documents into medical chart.
• Ensures all provider services are accounted for and billed.

• Contributes to the overall cleanliness and appearance of personal work space and department.
• Monitors supply levels and requests when needed.
• Maintains all equipment. Evaluates all equipment for damage or maintenance needs and reports when needed.

Minimum Education:

Graduate of a certified coding program

Work Experience:

One year or more experience in multispecialty coding position.

Required License/ Certification/Registration:
Certified Professional Coder or comparable designation

• Communication Excellence
• Knowledge and ability to work in accordance federal and state regulations
• Ability to work tactfully and effectively with patients, family members, other employees and physicians.
• Analytical abilities
• Word Processing / Computer
• Strong customer service
• Multi-tasking
• Time Management
• Organization
• Attention to Detail
• Professionalism / Positive Attitude
• Quality Focus
• Adaptability