CMS Billing and Coding Specialist

Praesum Healthcare
Lake Worth, FL
Full-time

Job Description

We are seeking a highly motivated Substance Use Disorder CMS Biller and Coding Specialist to join our team. The successful candidate will be responsible for managing the billing and coding processes for a variety of substance use disorder treatments, including behavioral therapy, medication-assisted treatment, and detoxification.

CMS Billing and Coding Specialist

Duties / Responsibilities :

  • Review and process claims for substance use disorder treatment services
  • Ensure that billing is compliant with CMS and other insurance provider requirements
  • Correct and resubmit denied claims in a timely manner
  • Maintain up-to-date knowledge of CMS regulations and billing procedures
  • Communicate effectively with insurance providers to resolve payment issues
  • Review treatment plans and medical records to ensure accurate coding
  • Monitor revenue and performance metrics to identify areas for improvement
  • Collaborate with treatment teams to improve billing processes and support better patient outcomes

CMS Billing and Coding Specialist

Requirements :

  • 3+ years of experience in medical billing and coding, with a focus on substance use disorder treatment
  • Strong knowledge of CMS regulations and billing procedures
  • Excellent organizational and time management skills
  • Ability to work in a fast-paced environment and handle multiple tasks simultaneously
  • Strong communication and interpersonal skills
  • Ability to work independently and as part of a team
  • Knowledge of medical terminology and anatomy / physiology

CMS Billing and Coding Specialist

Education :

Associate's or Bachelor's degree in Health Information Management, Business Administration, or related field preferred.

CMS Billing and Coding Specialist

Schedule :
  • Full Time
  • Full Time
  • Monday - Friday
  • 8 : 00AM 5 : 00PM
  • Compensation :

    Hourly rate competitive with experience and location

    Full time employees may be eligible for the following :

    • Insurance : Medical, Dental, Vision, and STD options
    • Medical FSA and Dependent Care Account
    • 401k with company match up to 5%
    • Accrued Paid Time Off (PTO)
    • Education reimbursement
    • Career Advancement Opportunities

    This job does NOT sponsor visa's and we are unable to consider out of country applicants

    3 days ago
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