
Remote Medical Billing Specialist
1 week ago
As a skilled professional in medical billing, you will be responsible for managing the billing and collection processes in a healthcare environment. Your expertise in using PCC (PointClickCare) software will play a crucial role in ensuring accurate and timely submissions of claims to Medicare, Medicaid, and other third-party insurance providers.
The ideal candidate will have experience in long-term care or skilled nursing facilities, with a strong understanding of regulations, terminology, and coding systems such as ICD-10 and CPT. They will also possess excellent communication skills, attention to detail, and the ability to work effectively in a team environment.
Key Responsibilities- Billing Management: Handle billing for various insurance claims, ensuring timely and accurate submission.
- Claims Processing: Review and process claims in accordance with government regulations and insurance policies.
- Accounts Receivable: Track and manage accounts receivable, ensuring timely follow-ups on outstanding claims and payments.
- Compliance: Ensure all billing practices are in compliance with regulatory standards, including HIPAA and payer-specific guidelines.
- Patient Billing: Generate and distribute patient bills, answer patient billing questions, and work to resolve billing discrepancies.
- Denials & Appeals: Address claim denials and process appeals as necessary, following up with insurance companies to ensure proper payment.
- Experience: At least 1-3 years of experience in medical billing, specifically in long-term care or skilled nursing facilities.
- Knowledge: Strong understanding of Medicare, Medicaid, and insurance billing processes, regulations, and terminology.
- Technical Skills: Proficiency in billing software, electronic medical records (EMR) systems, and Microsoft Office Suite.
- Attention to Detail: High level of accuracy in billing and documentation.
- Communication Skills: Ability to communicate effectively with patients, families, insurance representatives, and staff members.
This is a remote job opportunity that offers a healthy working environment and flexible work arrangements. The successful candidate will enjoy a competitive salary and regular reports on their performance and progress.
Seniority Level and Employment Type- Entry-level position available.
- Full-time employment.
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