Job Overview
We are seeking a dedicated and detail-oriented Medical Accounts Receivable Representative to join our remote team. In this role, you will play a vital part in ensuring the efficient resolution of billing issues within the healthcare sector, leveraging your expertise to enhance our service delivery to clients.
Key Responsibilities
- Oversee the resolution of incidents and manage pending cases, including initiating appeals and verifying demographic and insurance information as required.
- Review and track reimbursements from various insurance providers, employing appropriate collection strategies while ensuring adherence to federal and state regulations.
- Actively pursue payments from insurance carriers via phone communication, meticulously documenting all actions taken and following up with clients to guarantee timely settlements.
- Manage outstanding accounts daily to secure 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 trends in insurance denials to supervisors for the identification of payer-related issues and respond to inquiries from account managers and insurance providers.
Required Skills
- Proven 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 management of appeals and denials.
- Experience with private, government, and workers' compensation insurance companies is advantageous.
- Strong verbal and written communication skills, along with excellent organizational and interpersonal abilities.
- Capacity to prioritize workload effectively, manage multiple tasks, and meet deadlines consistently.
- Ability to adapt to shifting priorities as urgent matters arise.
Qualifications
- Previous experience in medical billing is essential, with a preference for exposure to various specialties.
- In-depth knowledge of CPT codes, modifiers, and diagnosis codes is crucial.
- Familiarity with payer guidelines and appeals management is necessary.
- Experience with diverse insurance types, including private and government, is a plus.
- A degree or certification in healthcare administration or medical billing is highly desirable.
Career Growth Opportunities
This position offers significant potential for professional growth within the healthcare billing sector, allowing you to enhance your skills and contribute to your career advancement while being part of a dynamic and supportive team.
Company Culture And Values
We pride ourselves on our commitment to compliance and quality service in the healthcare industry. Our team collaborates cohesively, ensuring that high standards are upheld throughout our processes. We value experienced professionals who aim to make a meaningful impact in healthcare, fostering a culture of excellence and integrity.
Compensation And Benefits
- Competitive hourly rate of $21.50.
- Comprehensive health, dental, and vision insurance coverage.
- Employer-paid life insurance and short-term/long-term disability.
- Voluntary life insurance options.
- Employee Assistance Program.
- 48 hours of sick leave after three months of employment.
- 80 hours of vacation time after six months of employment.
- $400 referral bonuses.
- Full-time remote work flexibility.
Employment Type: Full-Time