Job Overview
Join our dynamic team as a Medical Accounts Receivable Representative in a fully remote capacity. We are committed to delivering outstanding, cost-effective solutions in the healthcare sector, with a focus on compliance and exceptional service. Our organization prides itself on a robust management team, meticulous attention to processes, and the use of advanced technology to support our initiatives.
Key Responsibilities
- Facilitate the resolution of incidents while managing outstanding cases, including the initiation of appeals and the verification of demographic and insurance details as necessary.
- Monitor and review reimbursements from a variety of insurance providers, determining suitable collection methods while ensuring adherence to both federal and state regulations.
- Proactively engage with insurance carriers to secure payments, documenting all actions taken and following up diligently with clients to ensure prompt payment.
- Conduct daily management of outstanding accounts to ensure timely payment for open incidents.
- Analyze Explanation of Benefits (EOBs) from insurance companies, taking necessary actions such as appealing denied or underpaid claims and requesting adjustments from clients.
- Communicate observable trends in insurance denials to supervisors, aiding in the identification of issues with specific payers, and respond to inquiries from account managers and insurance carriers.
Required Skills
- Previous experience in medical billing, ideally with exposure to multiple specialties.
- Comprehensive understanding of CPT codes, modifiers, and diagnosis codes.
- Familiarity with payer guidelines, physician billing processes, and the management of appeals and denials.
- Experience working with private, government, and workers’ compensation insurance providers is an advantage.
- Exceptional verbal, written, organizational, and interpersonal skills.
- Strong ability to prioritize tasks, manage a varied workload, and meet deadlines.
- Adaptability to shift priorities as urgent issues arise.
- Comfort in collaborating with colleagues at all organizational levels.
Qualifications
- Prior medical billing experience is required, ideally within a multi-specialty environment.
- Extensive knowledge of CPT codes, modifiers, and diagnosis codes is essential.
- Preferred familiarity with payer guidelines and processes related to claims appeals.
Career Growth Opportunities
We are dedicated to fostering an environment of professional development, encouraging our team members to enhance their skills and pursue advancement within the organization. Our commitment to compliance and best practices supports continuous learning and the development of expertise in the healthcare field.
Compensation And Benefits
- Competitive hourly wage of $21.50.
- Comprehensive health benefits including medical, dental, and vision insurance.
- Employer-paid life insurance and short-term/long-term disability coverage.
- Voluntary additional life insurance options.
- Employee Assistance Program.
- 48 hours of sick leave after three months and 80 hours of vacation after six months.
- $400 referral bonuses.
- Work from home opportunity, offering flexibility and a supportive professional culture.
Employment Type: Full-Time