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    Medical Billing/Ar Follow-Up - Fully Remote

    A Great Medical Billing Company
    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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