Medical Billing/Ar Follow-Up - Fully Remote

2+ years

$18 to $20 per hour

Remote, USA

10 Oct. 24, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

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

Join a rapidly growing medical billing company that offers competitive benefits, including medical, dental, vision, 18 PTO days, and 6 paid holidays for permanent employees.

Job Purpose

We are a third-party medical billing company seeking Medical Billers to support the Accounts Receivable (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 IS 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.
Support AR follow-up representatives with research on A/R related projects.
Track productivity and quality of AR representatives.
Identify opportunities for improvement through one-on-one evaluations of AR representatives.
Follow up with payers to ensure timely resolution of all outstanding claims via phone, email, fax, or websites.
Meet and maintain daily productivity and quality standards established in departmental policies.
Use the workflow system, client host system, and other tools to collect payments and resolve accounts.
Adhere to established policies and procedures for the client/team.
Knowledge of timely filing deadlines for each designated payer.
Initiate appeals when necessary.
Identify and correct medical billing errors.
Send appropriate appeals, request information, and provide supporting documentation for the recovery process.
Analyze and resolve issues causing payer payment delays.
Analyze and trend claims issues to proactively reduce denials.
Understand underpayments and credit balance processes.
Perform special projects and other duties as needed, utilizing Excel spreadsheets and effectively communicating results.
Act cooperatively and courteously with patients, visitors, co-workers, management, and clients.
Use, protect, and disclose patients’ protected health information (PHI) in accordance with HIPAA standards.

Qualifications

Experience in insurance collections, including submitting and following up on claims for hospital or physician/professional clients.
Experience with UB-04 and/or CMS-1500 claims processing.
Familiarity with the client’s host system and 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 in MS Office, with basic Excel skills.
Experience with practice management systems; EPIC PB, Allscripts, and/or Cerner preferred.
Strong oral and written communication skills.
Strong organizational skills.

About Us:
Join a growing corporation in the medical billing industry!

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Medical Billing/Ar Follow-Up - Fully Remote

Job Description

Job Purpose

Duties and Responsibilities

Qualifications

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