Billing & Coding Specialist- Part Time ( Privia Infusion Center)

As a Billing & Coding Specialist at Privia Infusion Center, your responsibilities include data entry of patient demographics and daily charges, filing insurance claims, appealing problematic claims, generating and sending patient bills, and balancing daily co-pays. Additionally, you'll be responsible for communicating with insurance companies regarding surgical precertifications and assisting with various office tasks.

To apply for the Billing & Coding Specialist position at Privia Infusion Center, you should have at least 3 years of experience in a medical or physician office environment, along with knowledge of CPT and ICD-10 coding standards. Certification as a Professional Coder (CPC) or Professional Biller (CPB) is a plus, as well as familiarity with Athena EMR. OB/GYN billing experience is preferred but not required.

The work environment for a Billing & Coding Specialist at Privia Infusion Center is supportive and dynamic, emphasizing collaboration among healthcare professionals. As part of a physician-led team, you'll work onsite in Houston, TX, handling essential billing operations while enjoying the opportunity to interact with patients and insurance companies alike.

The ongoing compensation for the Billing & Coding Specialist role at Privia Infusion Center is set at $24 per hour, commensurate with experience. This competitive wage reflects the expertise and skills required for effectively managing billing and coding processes in a healthcare setting.

As a new Billing & Coding Specialist at Privia Infusion Center, you can expect thorough onboarding and training. This will include familiarization with our systems, processes, and collaborative practices that operate within our physician-led community. We aim to equip you with the knowledge and tools you need to be successful in your role and to provide excellent patient care.

In answering this question, highlight your specific experience with CPT and ICD-10 coding standards. Discuss any relevant certifications and how you've applied this knowledge in previous roles, especially in managing patient accounts or filing insurance claims.

When discussing how you handle difficult insurance claims, provide an example of a challenging claim you resolved. Explain your problem-solving process, communication with insurance companies, and how you ensured the best outcome for the patient.

To effectively answer this, describe your methodical approach to data entry, such as checking for accuracy, double-checking numbers, and utilizing any software tools that help maintain high accuracy levels in your work.

Explain your prioritization strategy, discussing how you manage urgent tasks while ensuring ongoing duties are addressed efficiently. Mention specific tools or techniques you use to stay organized, such as task lists or software.

Share how you stay informed about coding regulations, whether through attending workshops, subscribing to relevant professional journals, or being a part of coding associations. Demonstrate your commitment to continuous learning in the field.

Provide a specific example where you identified inefficiencies in billing processes and implemented changes. Highlight the positive impact your actions had on the team's productivity or the accuracy of billing.

Discuss your strategy for communicating with patients clearly and empathetically about their bills. Emphasize the importance of transparency and your willingness to answer any questions they may have.

Reflect on potential challenges such as navigating complex insurance policies or managing disputes. Discuss proactive approaches you plan to take, like seeking assistance from colleagues or using available resources.

Describe your understanding of HIPAA regulations and how you implement practices to protect patient information in your work. Mention any training you've received and how you adhere to confidentiality standards.

Share your enthusiasm for working at Privia Infusion Center, focusing on the collaborative atmosphere and the supportive nature of a physician-led practice. Connect this to your personal values in providing excellent patient care.