Colombia Job Openings
Specialty Care Clinics
Billing and Coding Specialist - Medical Clinic in Bogotá, Colombia
Bogota
FULL TIME
September 17, 2024
We are seeking a Billing and Coding Specialist to join our medical clinic located in Bogotá. The ideal candidate will have strong expertise in facturación y codificación médica (billing and medical coding) and will ensure the accuracy and efficiency of billing processes. The role involves managing insurance claims, coding diagnoses, and working with healthcare providers to ensure proper reimbursement for services.
Key Responsibilities:
- Codificación médica: Assign accurate medical codes (CIE-10) to procedures, treatments, and diagnoses in accordance with local healthcare standards.
- Facturación: Prepare and submit invoices to EPS (Entidades Promotoras de Salud) and IPS (Instituciones Prestadoras de Servicios de Salud).
- Process claims with insurance companies, ensuring compliance with Colombian health regulations (e.g., Resolución 3047 de 2008).
- Track payment approvals, denials, and follow up on unpaid or rejected claims.
- Coordinate with healthcare providers to clarify diagnoses or procedures as needed.
- Maintain accurate patient billing records in the clinic’s system (HIS, or Sistema de Información Hospitalaria).
- Collaborate with the clinic’s administrative team to improve the efficiency of billing and coding processes.
- Técnico o tecnólogo in facturación y codificación médica or related field.
- Experience with medical billing software and electronic health records (EHR).
- Knowledge of CIE-10 coding system.
- Familiarity with Colombian healthcare insurance systems (EPS, ARL, and prepagadas).
- Attention to detail and a commitment to accuracy in coding and billing.
- Good communication skills, both verbal and written, to interact with insurance companies and healthcare professionals.
- Previous experience in a clínica o hospital en Colombia.
- Knowledge of relevant Colombian healthcare regulations.
- Competitive salary based on experience.
- Opportunities for career growth within the clinic.
- Friendly and collaborative work environment.
Job Type: Full-time
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