Medical biller

Overview:

Job Title: Medical Biller / Accounts Receivable Specialist
Location: Remote 
Employment Type: Full-Time 
Sign-On Bonus: $1,000

Come Join Our Growing Team!

GeBBS Health Care, a leader in healthcare outsourcing services, is expanding its operations and is currently seeking an experienced Medical Biller / Accounts Receivable Specialist to join our CPA Medical Billing team.

Position Summary:
The Medical Biller/Accounts Receivable Specialist plays a crucial role in our revenue cycle management process. As a vital member of our team, you will contribute to ensuring healthcare providers are paid in a timely manner. This role requires strong attention to detail, effective communication, and the ability to manage various billing and account management tasks.

Key Responsibilities:

• Process and manage medical billing for various healthcare services.
• Ensure accuracy and completeness of all billing information.
• Review accounts receivable for outstanding balances and follow up with insurance companies, patients, and providers.
• Work to resolve denied or unpaid claims, ensuring compliance with regulations.
• Maintain patient confidentiality and comply with all HIPAA guidelines.
• Collaborate with healthcare professionals to obtain necessary documentation for claims.

Qualifications:

• Previous experience in medical billing or accounts receivable is preferred.
• Familiarity with medical billing software and insurance guidelines.
• Strong communication and organizational skills.
• Ability to work independently and efficiently in a fast-paced environment.
• Connecticut-based candidates only.

Why Join Us:

• Competitive salary with part-time and full-time opportunities.
• $1,000 sign-on bonus.
• Join a growing and supportive team within the healthcare industry.
• Opportunity for career growth and development in the revenue cycle management field.

Apply Today!
Be a key player in the healthcare industry's financial success by applying now!

GeBBS Health Care is committed to providing equal employment opportunities for all employees and applicants. We are an equal opportunity employer and value diversity at all levels of our organization.

Responsibilities and Duties:

Research:

• Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
• Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly.
• Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill.
• Contact guarantors as needed to determine insurance coverage. Drop tickets having no insurance to self-pay and bill patient.
• Work and identify the reason for the credit balance. Be sure everything going to the patient is self-pay. Review tickets on hold, checking chart to be sure they should be on hold and release after days on hold for that payer if dollars exist.

Appeals:

• Initiate appeals to payers following the guidelines outlined for that payer. Note account and track appeal to resolution.

Accountability:

• Enter notes on all tickets with action taken and paste any proof of insurance eligibility.
• Be prepared to account for action taken on tickets. Participate in meetings as instructed by management.
• Provide work status updates to management upon request that may including running statistical reports.
• Meet or exceed all set deadlines and goals.
• Promptly inform management of any problems or changes with system or payers identified during the course of daily work.

Assistance:

• Offer assistance and share knowledge with co-workers either when asked or when necessary for the betterment of completing tasks, the overall account and company.

Personal Development:

• Participate in personal development training and cross training as instructed by management.
• Understand and follow all payer rules when setting up billing schemes on accounts to ensure accurate claims.
• Follow protocol by informing managerial staff of any problems and never contact clients without the prior management approval.
• Understand coding rules and schemes to detect potential claim errors. Consult with coders on those accounts in question.

Office Policies:

• Adhere to all office policies at all times.
• Maintain confidentiality at all times.
• Work special projects as assigned.
• Retrieve voice mail several times daily and return all calls within 24-hour period.
• Participate in being “part of the team” – contribute to a calm but enjoyable workplace environment.

Qualifications and Skills:

• At least 1-3 years of full-time medical billing accounts receivable work
• Availability to work full-time (40 hours per week) between the hours of 8am and 6:00pm Monday through Friday (no weekends)
• Strong work ethic and ability to work independently in a very busy office
• Prior experience using GE Centricity and/or EPIC is preferred but not required
• Completion of Medical billing/ coding program or certification is strongly preferred