Remote Medicare Billing Specialist
About the position
Responsibilities
• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
• Obtain claim status via the telephone, internet, and/or fax.
• Review and understand eligibility of benefits.
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
• Identify contractual and administrative adjustments.
• Work independently or as a member of a team to accomplish goals.
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
• Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
• Interact with all levels of staff.
• Cross train in multiple areas and perform all other duties as assigned by management.
Requirements
• High School Diploma or equivalent.
• Bachelor's degree preferred, or equivalent combination of education, training, and experience.
• Prior experience in Insurance follow-up, claims processing, or medical billing preferred.
• Prior experience with Medicaid claims preferred.
• Write grammatically correct routine business correspondence.
• Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc.
• Speak clearly and distinctly on the phone with exceptional etiquette.
• Collaborate with others on projects and/or special assignments.
• Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate.
• Work independently and follow-through on assignments with minimal direction.
• Analytical skills and the ability to make appropriate decisions independently.
• Complete heavy workload within established time frames.
• Proficient in Microsoft Word, Excel and other desktop software.
• Problem solver with the ability to identify issues, provide feedback and follow-up to resolution.
• Encourages team members to deliver their best performance, providing expertise and direction when applicable.
• Demonstrates ability to learn new systems and processes.
• Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy.
Nice-to-haves
• Experience with medical billing software.
• Knowledge of HIPAA regulations and compliance.
Benefits
• Unlimited opportunities for advancement.
• Full benefits package including health, dental, vision, and life insurance upon hire.
• Matching 401k.
• Competitive salaries.
• Incentive programs.
Apply Now
Apply Now
Responsibilities
• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
• Obtain claim status via the telephone, internet, and/or fax.
• Review and understand eligibility of benefits.
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
• Identify contractual and administrative adjustments.
• Work independently or as a member of a team to accomplish goals.
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
• Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
• Interact with all levels of staff.
• Cross train in multiple areas and perform all other duties as assigned by management.
Requirements
• High School Diploma or equivalent.
• Bachelor's degree preferred, or equivalent combination of education, training, and experience.
• Prior experience in Insurance follow-up, claims processing, or medical billing preferred.
• Prior experience with Medicaid claims preferred.
• Write grammatically correct routine business correspondence.
• Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc.
• Speak clearly and distinctly on the phone with exceptional etiquette.
• Collaborate with others on projects and/or special assignments.
• Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate.
• Work independently and follow-through on assignments with minimal direction.
• Analytical skills and the ability to make appropriate decisions independently.
• Complete heavy workload within established time frames.
• Proficient in Microsoft Word, Excel and other desktop software.
• Problem solver with the ability to identify issues, provide feedback and follow-up to resolution.
• Encourages team members to deliver their best performance, providing expertise and direction when applicable.
• Demonstrates ability to learn new systems and processes.
• Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy.
Nice-to-haves
• Experience with medical billing software.
• Knowledge of HIPAA regulations and compliance.
Benefits
• Unlimited opportunities for advancement.
• Full benefits package including health, dental, vision, and life insurance upon hire.
• Matching 401k.
• Competitive salaries.
• Incentive programs.
Apply Now
Apply Now