Claims Coding, Billing and Collection Services

The vendor will provide comprehensive professional, inpatient and outpatient claims coding, billing, and collection services for Mildred Mitchell-Bateman Hospital (110-bed acute psychiatric), William R. Sharpe, Jr. Hospital (200-bed acute psychiatric), and Welch Community Hospital (55 licensed beds, medical/surgical, ICU, pediatric). Services include abstracting claims data from the clinical system, coding using ICD-10-CM/PCS, CPT, HCPCS, preparing and submitting insurance claims electronically to Medicare, Medicaid, and other carriers, working denials, posting payments, mailing patient statements, handling collections, and providing monthly reports. The vendor must use their own clearinghouse and maintain their own portal accounts. The work is performed remotely.