Healthcare ProFee Billing Specialist
Job Title: Hospital Billing Specialist
The Billing Specialist is expected to have a general knowledge of medical billing and follow-up procedures including: ensuring proper submission of all claims while meeting required billing deadlines, consistently following up on unpaid claims utilizing assigned tasks or aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.
Responsibilities:
• Ensures all claims are submitted with a goal of zero errors
• Verifies completeness and accuracy of all claims prior to submission
• Research rejected and denied claims; reconciles with original claim; makes any necessary corrections; resubmits corrected claims, or submits appeals for reconsideration, as appropriate to the situation
• Makes necessary arrangements for medical records requests, completes additional information request, etc., as requested by insurance companies
• Follows up with all insurance carriers on unpaid claims until the claims are paid and have reached a zero balance
• Prepares, reviews and sends patient statements for service amounts such as co- payments, deductibles and coinsurance
• Evaluates patient’s financial status and establishes budget payment plans; processes accounts to collections for nonpayment, as required; follows up and reports status of delinquent accounts
• Communicates effectively with providers and patients regarding claims/billing questions or complaints
• Maintains goodwill with both patients and insurance companies; responds in a timely manner and ensures all issues are resolved according to established guidelines and required laws and regulations
• Regularly meet with Director to discuss and resolve reimbursement issues or billing obstacles
• Completes work with excellent attention to detail to ensure compliance with departmental/company/HIPAA standards
• Always maintains strict confidentiality of information
• Performs other duties as assigned
Qualifications:
• Advanced knowledge of professional Medical Billing, posting and insurance AR follow up.
• Advanced knowledge of practice management systems and clearinghouses
• Ability to communicate effectively, both orally and in writing.
• Advanced Excel Skill.
• Ability to analyze, interpret and draw inferences, and prepare reports.
• Ability to work with little supervision and communicate effectively with your remote team members.
• Minimum 3 years of RCM experience either at a provider or a vendor (vendor settings preferred).
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Application Question(s):
• Please leave a good phone number or email (that is not your Indeed email) to contact you.
Work Location: Remote
Apply Now
Apply Now
The Billing Specialist is expected to have a general knowledge of medical billing and follow-up procedures including: ensuring proper submission of all claims while meeting required billing deadlines, consistently following up on unpaid claims utilizing assigned tasks or aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.
Responsibilities:
• Ensures all claims are submitted with a goal of zero errors
• Verifies completeness and accuracy of all claims prior to submission
• Research rejected and denied claims; reconciles with original claim; makes any necessary corrections; resubmits corrected claims, or submits appeals for reconsideration, as appropriate to the situation
• Makes necessary arrangements for medical records requests, completes additional information request, etc., as requested by insurance companies
• Follows up with all insurance carriers on unpaid claims until the claims are paid and have reached a zero balance
• Prepares, reviews and sends patient statements for service amounts such as co- payments, deductibles and coinsurance
• Evaluates patient’s financial status and establishes budget payment plans; processes accounts to collections for nonpayment, as required; follows up and reports status of delinquent accounts
• Communicates effectively with providers and patients regarding claims/billing questions or complaints
• Maintains goodwill with both patients and insurance companies; responds in a timely manner and ensures all issues are resolved according to established guidelines and required laws and regulations
• Regularly meet with Director to discuss and resolve reimbursement issues or billing obstacles
• Completes work with excellent attention to detail to ensure compliance with departmental/company/HIPAA standards
• Always maintains strict confidentiality of information
• Performs other duties as assigned
Qualifications:
• Advanced knowledge of professional Medical Billing, posting and insurance AR follow up.
• Advanced knowledge of practice management systems and clearinghouses
• Ability to communicate effectively, both orally and in writing.
• Advanced Excel Skill.
• Ability to analyze, interpret and draw inferences, and prepare reports.
• Ability to work with little supervision and communicate effectively with your remote team members.
• Minimum 3 years of RCM experience either at a provider or a vendor (vendor settings preferred).
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Application Question(s):
• Please leave a good phone number or email (that is not your Indeed email) to contact you.
Work Location: Remote
Apply Now
Apply Now