MEDICAL BILLING SPECIALIST - $21/HR. - CONTRACT

Vaco

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Job Information

Job Description Medical Biller - Physician Billing/Collections specialty

  • 6 - month contract to start high potential for conversion
  • 100% REMOTE, work from home (equipment will be provided)
  • $21.00/hr.
Must have skills & experience:
  • At least 1 years of Physician Billing/Collections experience
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping procedures Knowledge of medical terminology likely to be encountered in medical claims
Position description:
  • Follow up of outstanding A/R all payers and/or including self pay and/or including resolution of denials.
  • This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability.
  • Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports.
  • Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.
Job Responsibilities:
  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection reports

Vaco