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Medical Billing/AR Follow-up - FULLY REMOTE

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

Laos, Louisiana (USA), United States

Offer summary

Qualifications:

Experience in insurance collections, Knowledge of UB-04 and CMS 1500 claims, Experience with client host systems, Proficiency in MS Office and basic Excel, Knowledge of medical terminology and coding.

Key responsabilities:

Assist AR representatives with training and support
Conduct research on A/R projects
Follow up with payers on outstanding claims
Maintain productivity and quality standards
Perform special projects using Excel

RemoteWorker CA Human Resources, Staffing & Recruiting Startup https://www.remoteworker.jobs/

2 - 10 Employees

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Job description

Job Description

Job Description

FULL TIME WORK FROM HOME OPPORTUNITY

Temp-to-Perm Position, 37.5 hours/week - Monday through Friday from 8:00am to 4:30pm Eastern time

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 Medical Billing company seeking Medical Billers to support the AR Follow up department.

HOSPITAL AR FOLLOW-UP / UB-04 CLAIMS OR PHYSICIAN/PROFESSIONAL AR FOLLOW UP / CMS-1500 CLAIMS PROCESSING EXPERIENCE REQUIRED
EXPERIENCE WITH EPIC A BIG PLUS

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 Hospital or Physician/Professional clients
Experience with UB-04 and/or CMS 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 and/or Cerner preferred
Strong communication skills/oral and written
Strong organizational skills

Company Description

Growing corporation!!

Company Description

Growing corporation!!