Expert Medical Billing Specialist
1 week ago
Medical Biller Job Opportunity
We are seeking a highly skilled and experienced Medical Claims Specialist to join our organization. As a key member of the revenue cycle team, you will be responsible for managing all third-party billing and collections functions for assigned accounts.
This position offers the flexibility of working from home and is a remote opportunity that allows you to collaborate with an international team while contributing to our growing business.
Responsibilities:- Coordinate the accumulation of information with various departments; post charges to resident accounts accurately.
- 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).
- Coordinate with all departments and submit ADR information within 10 days of receipt of request.
- 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.
- Provide needed supporting documentation to payer upon request in a timely manner.
- Maintain Accounts Receivable Aging levels for assigned accounts within company guidelines.
- Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
- Process claim reclassification to private accounts upon approval from management.
- Process bad debts in a timely fashion when claims are determined to be uncollectable. Document all reasons for uncollectability and efforts in the process.
- 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.
Billing Specialist job requires strong analytical and problem-solving skills, along with excellent communication skills to effectively interact with patients and their families, hospital staff, insurance companies, and other healthcare professionals.
The ideal candidate should have a proven track record of successfully collecting payments and resolving billing issues in a fast-paced environment.
Our organization values teamwork and collaboration, so if you are a motivated individual who is passionate about delivering excellent customer service and results-driven performance, we encourage you to apply for this exciting Medical Biller opportunity.
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