FULL TIME WORK FROM HOME OPPORTUNITY

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

This a rapidly growing Medical Billing company that offers Medical, Dental, Vision, 18 PTO days, and 6 paid holidays to their permanent employees.

Job Purpose

Third-Party Medical Billing company seeking Medical Billers to support the 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 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
• Assist and support AR follow up representatives with research on A/R related projects
• Assist in tracking productivity and quality of AR Representatives
• Identify areas of opportunity for improvement through one on one evaluation of AR Representative team
• Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites
• Meets and maintains daily productivity/quality standards established in departmental policies and supports training needs identified to ensure teams success in this area
• Meets and maintains quality standards established in departmental policies and supports training needs identified to ensure the teams success in this area
• Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts
• Adheres to the policies and procedures established for the client/team
• Knowledge of timely filing deadlines for each designated payer
• Initiate appeals when necessary
• Ability to identify and correct medical billing errors
• Send appropriate appeals, accurate requesting information, supporting documentation, and effective communication to complete recovery process
• Ability to analyze, identify and resolve issues causing payer payment delays
• Ability to analyze, identify and trend claims issues to proactively reduce denials
• Understanding of under payments and credit balance process
• Perform special projects and other duties as needed. Assists with special projects by utilizing excel spreadsheets, and the ability to communicate results
• Act cooperatively and courteously with patients, visitors, co-workers, management and clients
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

• Experience in insurance collections, including submitting and following up on claims for a Hospital or Physician/Professional clients
• Experience with UB-04 and/or CMS 1500 claims processing
• Experience with the Client’s host system.
• Experience with 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 with MS Office. Must have basic Excel skillset
• Experience with practice management systems. EPIC PB, Allscripts and/or Cerner preferred
• Strong communication skills/oral and written
• Strong organizational skills