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Remote Medical Billing Specialist
- Permanent position
- Flex Schedule
- Excellent Health, Dental, Vision, Life Packages
- PTO, paid sick leave, paid holidays
- Opportunity for career growth
- Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to:
- Performing account follow-up activities on high-dollar accounts receivable
- Research items requiring further assistance
- Possesses an understanding of the healthcare revenue cycle and applies this knowledge to assist team with achievement of quality control standards
- Demonstrates the ability to professionally communicate with colleagues, payers, and clients (if necessary)
- Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc.
- Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution to team and engagement leadership
- Researches and documents any correspondence received related to assigned accounts
- Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
- Provide documentation appropriately and submit corrections; or if payer error, escalate for re-processing in a professional and timely manner
- Identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed
- Contacts third party payers and government agencies to resolve outstanding account balances
- Maintains departmental productivity and quality standards
- Must possess general PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm required
- Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers required
- A minimum of 1-2 years in Healthcare Provider Revenue Cycle experience required
- High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
- Hands-on experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, and other industry recognized Revenue Cycle Management Systems required
- Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billing
- While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects. The employee must have the ability to sit for long periods of time.
Remote
Skills:
Accounts Receivable, Billing, Centers for Medicare and Medicaid Services (CMS), Cerner, Claims Processing, Communication Skills, Current Procedural Terminology (CPT), Diagnosis-Related Group (DRG), Epic Systems, Fee Schedule, Government, Healthcare, Healthcare Providers, Hospital, ICD-10, Insurance, Leadership, MEDITECH, Medical Billing, Medical Coding, Outsourcing, Physical Demands, Problem Solving Skills, Quality Control, Quality Management, Quality Metrics, Regulations, Reimbursement, Revenue Management, Revenue Recognition, Third-Party Payer, Time Management, Typing
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TRC Talent Solutions
