Accurate Billing Specialist
6 days ago
Billing Specialist: Medical Claims Coordinator
Limitlessli is seeking an experienced Billing Specialist to join our team. As a Billing Specialist, you will play a vital role in the revenue cycle by ensuring timely and accurate processing of medical claims.
Job DescriptionThe successful candidate will have a proven track record of experience in processing skilled nursing medical claims with third-party payers, including Medicare, Managed Care, and Insurance Companies. You will be responsible for managing billing processes to secure payments within defined company guidelines.
This position offers the flexibility of working from home and requires a strong communication and interpersonal skill set. You will collaborate with an international team to contribute to our growing business.
Responsibilities:- Coordinate accumulation of information with various departments; post to resident accounts
- Review charges for accuracy, completeness, consistency, and payers charged
- Prepare and timely issue accurate billing statements to the correct payer using electronic systems provided
- Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs)
- Follow up on unpaid claims/denials within company standard billing cycle timeframes; Determine reasons for denial. Correct claims and Re-bill when required.
- Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
- Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care, and Insurance Companies with a track record of successful collections
- One or more years of experience working in a high-volume, short-term rehab environment
- Knowledge of billing and related software preferred and/or experience with similar software
- Proficiency with Microsoft Office and ability to learn company IT systems
- Strong communication, interpersonal, and organizational skills
- Detail orientation
- Ability to manage multiple priorities
- Discretionary judgment
- Ability to work independently and as part of a team
You will benefit from a remote working environment, collaboration with an international team, and opportunities for professional growth and development.
To succeed in this role, you will need to have a reliable computer, noise-canceling headset, second monitor for enhanced productivity, and stable internet connection. A backup internet connection is also required to ensure seamless work completion.
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