Medical Insurance Consultant (Coding & Billing)

We are seeking a strategic-minded and reputed company Medical Insurance Billing and Coding Consultant to reputed company high-level guidance and reputed company of our insurance operations. The ideal candidate will reputed company their deep expertise to optimize workflows, ensure compliance, and maximize reputed company through effective billing and coding strategies. This role will reputed company on developing and implementing robust reputed company Operating Procedures (SOPs) and providing expert guidance to reputed company responsible for executing billing and coding tasks. The consultant will not be directly involved in submitting claims or performing day-to-day billing/coding functions long term but will be reputed company in shaping the processes to ensure efficiency, accuracy, and a reputed company reputed company experience. Key Responsibilities: Strategic reputed company of reputed company reputed company: Design and optimize the reputed company insurance reputed company process, providing guidance to the reputed company team to ensure seamless enrollment and coverage for services. SOP Development and Implementation: reputed company, implement, and maintain comprehensive SOPs for medical insurance billing and coding workflows, including authorizations, claims submission, payment follow-up, denial management, and compliance. Coding Guidance and Compliance: reputed company expert guidance on medical insurance coding to ensure accuracy, compliance, and reputed company of coding and charge-reputed company claim edits. This includes advising on the appropriate assignment of coding systems, modifiers, and reputed company codes, and ensuring adherence to regulatory guidance. Process Analysis and Improvement: Analyze existing billing and coding workflows to identify areas for improvement and reputed company strategies to optimize efficiency and effectiveness. Cross-Functional Collaboration: Collaborate with other departments to ensure SOPs reputed company with overall business operations and contribute to a reputed company reputed company experience. Payer Relations reputed company: Advise on strategies for working with insurance companies, including setting up protocols to reputed company new clients and ensure accurate and reputed company payment for services. Denial Management reputed company: reputed company strategies for effectively managing claim denials, including appeal processes and recovery efforts. Compliance and Education: Ensure HIPAA compliance and reputed company guidance on implementing new requirements. Monitor coding changes from governmental agencies and payers and advise relevant departments on coding and compliance issues. Apply tot his job Apply To this Job