Job description

FULL TIME WORK FROM HOME OPPORTUNITY

Temp-to-Perm Position, 37.5 hours/week

This a rapidly growing Medical Billing company that offers Medical, Dental, Vision, 18 PTO days, and 6 paid holidays to their permanent employees.

Job Purpose

Third-Party Billing company seeking a Medical Biller to support the AR Follow up department with HOSPITAL/FACILITY BILLING, ACCOUNTS RECEIVABLE FOLLOW-UP, and UB-04 CLAIMS PROCESSING EXPERIENCE.

There is also a need for candidates doing PHYSICIAN/PROFESSIONAL BILLING, ACCOUNTS RECEIVABLE FOLLOW-UP, and 1500 CLAIMS PROCESSING EXPERIENCE.

Duties And Responsibilities

• Assist AR representative team members by answering questions and providing support for their ongoing success
• Provide initial training on the client host system
• Assist and support AR follow up representatives with research on A/R related projects
• Assist in tracking productivity and quality of AR Representatives
• Identify areas of opportunity for improvement through one on one evaluation of AR Representative team
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
• Meets and maintains daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area
• Meets and maintains quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area
• Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts
• Adheres to the policies and procedures established for the client/team
• Knowledge of timely filing deadlines for each designated payer
• Initiate appeals when necessary
• Ability to identify and correct medical billing errors
• Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
• Ability to analyze, identify and resolve issues causing payer payment delays
• Ability to analyze, identify and trend claims issues to proactively reduce denials
• Understanding of under payments and credit balance process
• Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

• Experience in insurance collections, including submitting and following up on claims for a Medical Practice, Medical Facility/Medical Billing Company, Ambulatory Surgical Center, and/or Hospital
• Experience with UB-04 claims processing or 1500 claims processing
• Experience with the Client’s host system.
• Experience with training new users
• Knowledge of the denied claims and appeals process
• Extensive knowledge of individual payor websites, including Navinet and Novitasphere
• Knowledge of Medical Terminology, CPT Codes, Modifiers and Diagnosis Codes
• Ability to work well individually and in a team environment
• Proficiency with MS Office. Must have basic Excel skillset
• Experience with practice management systems. EPIC PB, Allscripts, Meditech, and/or Cerner preferred
• Strong communication skills/oral and written
• Strong organizational skills

Job Type: Full-time

Pay: From $18.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Application Question(s):

• Do you have A/R Follow-up experience with Hosptial/Facility claims (UB-04's)?
• Do you have A/R Follow-up experience with Physician/Professional claims (1500's)

Education:

• High school or equivalent (Required)

Shift availability:

• Day Shift (Required)

Work Location: Remote

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