At Visana Health, the Medical Billing and Coding Specialist plays a crucial role in ensuring that all medical records and claims are submitted accurately. Responsibilities include reviewing patient charts, managing billing processes, submitting claims to insurance companies, and following up on outstanding payments. This position requires effective communication with both patients and healthcare providers to resolve any discrepancies and maintain compliance with healthcare regulations.

Visana Health looks for a Medical Billing and Coding Specialist who is proficient in medical coding practices and has a strong understanding of medical terminology. Experience in a medical office environment, particularly in billing or coding roles, is highly desirable. Familiarity with ICD-10 codes and various medical billing systems, like Athena, will also be advantageous. Excellent attention to detail, strong organizational skills, and the ability to work independently while being a collaborative team player are key attributes we value.

A successful Medical Billing and Coding Specialist at Visana Health should be familiar with various medical billing systems and software applications, with a preference for those who have experience using Athena. Knowledge of ICD-10 coding practices and risk adjustment coding (CRC) is also beneficial. Your proficiency in these tools will help ensure accuracy in billing and streamline communication with insurance companies.

At Visana Health, we believe in the continuous development of our employees. Our Medical Billing and Coding Specialists have access to training resources that help them stay current with the latest practices in billing, coding, and compliance. This includes security and privacy training to handle sensitive patient information effectively and in accordance with HIPAA regulations.

As a Medical Billing and Coding Specialist at Visana Health, you can expect a fully remote work environment that emphasizes flexibility and collaboration. We value the contributions of our team members and foster a culture that encourages open communication and teamwork, even from a distance. Our goal is to create an inclusive and supportive atmosphere where everyone can thrive.

When answering this question, provide specific examples from your past roles that highlight your experience with ICD-10 coding, handling medical records, and submitting claims. Emphasize situations where you resolved discrepancies, improved billing accuracy, or effectively communicated with patients or insurance providers.

Explain your methods for reviewing claims and coding accurately, such as double-checking codes against patient charts and using checklists. Discuss any software tools you utilize for accuracy and how you stay updated on coding guidelines to minimize errors.

This is a chance to showcase your communication skills and empathy. Discuss how you approach inquiries by actively listening, providing clear explanations, and ensuring follow-up, thus fostering trust. Mention how you collaborate with medical staff to obtain accurate billing information.

When responding, provide a specific case where you encountered a billing challenge, such as a payment denial or record discrepancy. Describe the steps you took to resolve it, the outcome, and what you learned from the experience that improved your future billing practices.

Show that you are knowledgeable about key regulations, such as HIPAA, and the importance of maintaining patient confidentiality. Discuss your approach to staying informed about changes in regulations and how you implement compliance measures in your billing procedures.

Emphasize your organizational skills and ability to prioritize effectively. Discuss tools you use for task management, such as scheduling software or to-do lists, and how you maintain focus amidst competing responsibilities to meet deadlines.

Be specific about your experience with Athena or any other relevant software. You might want to discuss the features you have used, any training you've received on the platform, and how it has aided you in managing billing tasks efficiently.

Talk about your systematic approach to identifying discrepancies, such as cross-referencing reports or patient charts. Explain how you communicate with healthcare providers or the billing team to rectify errors promptly to ensure accurate billing.

Discuss your proactive approach to professional development, such as attending workshops, following industry publications, or participating in online forums. Mention specific resources or training platforms you use to stay informed about coding updates.

Highlight your alignment with Visana Health’s mission to improve women's healthcare. Discuss how your values resonate with the company's focus on value-based care and how your skills can contribute to their unique care model. Show enthusiasm for being part of a team that makes a difference.