Allergy Billing Specialist in Marlton, New Jersey at Advocare LLC

Managing the revenue cycle specifically for allergy and immunology services:

• Specialty Coding: Code and bill specific services using ICD - 10, CPT and HCPCS standards including allergy skin testing and in office immunotherapy (Allergy shots /mixes)
• Insurance verification & Authorizations: Verify patient insurance eligibility, coverage limits and pre-authorizations prior to the scheduled clinic visits or immunotherapy programs.
• Denial & A/R Management: Review Claims rejections, denials and underpayments, research payor policies and submit formal appeals with the supporting medical records.
• Payment posting: Post patient payments, copayments, deductibles and adjustments into the EHR system.
• Patient Communication: Answer patient inquiries regarding bills, explain Explanation of Benefits (EOBs) and set up or manage payment plans.
• Clinical Collaboration: Work closely with providers, allergy nurses and clinical staff to resolve documentaion, charge capture or coding discrepancies.
• Compliance: Ensure all billing and coding practices adhere to HIPAA guidelines, federal healthcare regulations, and specific insurance payor policies.

Experience: Generally 1-5 years of medical billing experience. Specialty or allergy /immunology experience preferred.

Knowledge base: Strong familiarity with medical billing software, EHR platforms and specialized allergen immunotherapy reimbursement guidelines