Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Part Time Billing Advocate. This position will be a remote based role.

The position will be Monday through Friday, 5 Hour Shifts. The schedule options are below and must remain consistent.

8 AM to 1 PM
9 AM to 2 PM
10 AM to 3 PM

Job Summary

The purpose of this position is to submit inpatient and outpatient claims to Government payers, and to follow-up on these claims until payment is received and/or accounts are resolved.

Essential Duties And Responsibilities

Process claims reports and upload all accounts that requires claim submission
Verify eligibility, member benefits, authorization requirements and billing address of each claim to be submitted
Review UB04 information, correct claim errors, print and submit each UB04 claim with all the required attachments
Track receipt of each claim, and periodically call or check online for claim status
Work the claims dashboard for claim follow-up and documentation
For claims paid, verify receipt of payment and review if paid in accordance with expected reimbursement
Refer denied or underpaid claims to appeals team
Request adjustments to resolve paid, underpaid or denied accounts
Assist in the preparation of claims reports
Closely communicate and coordinate with the client hospitals with respect to their accounts
Respond to other tasks assigned by the department manager
Other duties as assigned.

Qualifications And Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.

High School diploma required.
Good working knowledge of MS Office, Windows and Exchange email required.
Excellent customer service skills (friendly, courteous, and helpful).
Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client’s staff members.
Strong analytical and problem-solving skills a must
Ability to multi-task; excellent organizational and planning skills required.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.

The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

ElevatePFS is an Equal Opportunity Employer

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