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Homeoffice Remote Billing Specialist bei None

None · Round Rock, Vereinigte Staaten Von Amerika · Remote

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Duties and Responsibilities                                                                                                                  

  • Clean, review, and submit claims for behavioral health providers (specifically autism providers)
  • Track claim statuses and remittances
  • Work denials and follow up with unpaid claims proactively
  • Manage patient responsibility invoices (e.g., patient co-insurance, co-pays)
  • Evaluate insurance operations and identify efficiency improvements
  • Analyze EOBs and post manual payments
  • Submit and follow up on Commercial and Medicaid, primary and secondary insurances
  • Communicate to administrative team for errors and corrections
  • Work and manage claims from all aging buckets including posting and appeals, including resubmission of claims and appropriate adjustments.
  • Input and review billing data for accuracy, including data entry.
  • Ensure that billing and collections adhere to all compliance policies and procedures.
  • Work with Billing Manager and local clinic team members to ensure accurate billing.
  • Follows up on claim resolution from initial billing through final resolution including identifying and correcting billing errors/rejections and denials (denial management investigations & appeals).
  • Manage claims submission and AR for assigned clinics.
  • Process remittance advices/EOB’s to achieve finalized clean claims for payment including researching and correcting denials (Pull EFT back-ups).
  • Post and reconcile payments received using system and deposit reports.
  • Maintain confidentiality of all patient information.
  • Perform other duties as assigned

 

Qualifications

  • BS or BA degree in Finance, Accounting, healthcare administration or related field, preferred, and/or equivalent work experience in revenue cycle management or medical billing function
  • 1 to 3+ years of experience in healthcare within revenue cycle management or medical billing function
  • 1 to 3+ years of experience working with Medicaid and MCO’s within medical billing process
  • Experience in a high growth and fast paced environments

 

Knowledge, Skills and Abilities

  • Advanced level skills in the use of the Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook eMail and Calendar
  • Strong mathematical and analytical skills
  • Detail oriented and deadline driven
  • Ability to read and analyze ERA remittances for appropriate posting and/or denial resolution actions
  • Ability to apply current knowledge to more complex tasks in order to achieve elevated results, leading to continuous improvement
  • Proven ability to work and collaborate with other team members and to maintain a positive attitude
  • High level of integrity and dependability and the ability to manage multiple projects and competing priorities
  • Ability to successfully complete required background and drug screens

 

Working conditions

Physical Conditions:

  • Ability to bend, kneel, crouch, and spend time standing as well as an ability to lift items up to 25 lbs.
  •  Endurance to move from a seated position to a standing position to accomplish required tasks
  • Requires eye-hand coordination and manual dexterity enough to operate office equipment, etc.
  • Ability to effectively communicate both orally and audibly using a variety of software communication platforms and electronic devices

 

Jetzt bewerben

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