Join Neuroscience Group, a regional leader in brain, spine, and pain care, as a Coding Specialist / Insurance Reimbursement Specialist supporting the Revenue Cycle team in a fast-paced multi-specialty healthcare environment.
This role combines medical coding and insurance reimbursement responsibilities, including accurate charge capture, denial management, claim follow-up, and compliance support. The position works closely with providers, billing staff, leadership, patients, and insurance carriers to help ensure timely reimbursement and resolution of billing discrepancies.
The ideal candidate will bring experience in both coding and reimbursement-related functions, with the opportunity for training in areas where additional development is needed.
Qualifications
- High school diploma or equivalent required
- Advanced education or certification in Medical Coding, Health Information Management, Medical Billing, or a related field preferred
- CPC, CCS, or equivalent certification preferred
- 2–3 years of experience in medical coding, insurance reimbursement, accounts receivable, or medical billing required
- Experience in a multi-specialty medical practice preferred
Knowledge and Skills
- Strong understanding of CPT, ICD-10-CM, HCPCS, medical terminology, insurance reimbursement, and accounts receivable processes
- Knowledge of payer guidelines, insurance regulations, and denial management processes
- Excellent analytical, problem-solving, and critical-thinking abilities
- Strong organizational skills and attention to detail
- Ability to multitask and prioritize in a fast-paced environment
- Strong verbal and written communication skills
- Ability to work independently and collaboratively
- Proficiency with EHR systems, practice management systems, Microsoft Office, and payer web portals
- Ability to maintain professionalism and confidentiality
Key Responsibilities
- Assign CPT, ICD-10-CM, HCPCS, and modifier codes based on documentation and payer requirements
- Review clinical documentation for accuracy and compliant coding practices
- Assist with coding audits, reviews, and compliance initiatives
- Investigate denied, rejected, underpaid, or unresolved claims
- Prepare claim appeals and supporting documentation
- Assist with billing queues, payment posting discrepancies, and reimbursement issues
- Communicate with patients regarding billing and insurance questions
- Maintain compliance with HIPAA, CMS, and payer requirements
Benefits
- Competitive salary
- Health insurance
- Health Savings Account with employer contribution
- Dental insurance
- Vision insurance
- Company-paid long-term disability and life insurance
- Voluntary life, short-term disability, accident, and critical illness insurance
- Generous PTO and short-term disability banks
- 401(k) with guaranteed employer contribution
- Profit sharing and cash balance pension plan
- Employee Assistance Program
- Timber Rattler tickets
- Holiday party, summer picnic, annual recognition events, and employee appreciation day
Location
Wisconsin, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago