Job Overview
We are a leading provider of cost-effective solutions in the healthcare sector, driven by a commitment to excellence and compliance. Our organization thrives on the expertise and dedication of our team, enabling us to deliver superior services to clients around the globe.
Key Responsibilities
- Facilitate the resolution of incidents, managing pending cases, initiating appeals, and verifying demographic and insurance details as necessary.
- Oversee and track reimbursements from various insurance providers, determining suitable collection strategies while ensuring adherence to federal and state regulations.
- Actively pursue payments from insurance carriers via phone communications, meticulously documenting all actions taken and conducting follow-up with clients for timely payments.
- Handle daily outstanding accounts to ensure payment for open cases.
- Examine Explanation of Benefits (EOBs) from insurance entities, taking necessary actions, such as appealing denied or underpaid claims and requesting adjustments from clients.
- Report trends in insurance denials to management to assist in pinpointing issues with specific payers and respond to inquiries from account managers and insurance carriers.
Required Skills
- Proven experience in medical billing, ideally with exposure across various specialties.
- Comprehensive understanding of CPT codes, modifiers, and diagnosis codes is imperative.
- Knowledge of payer guidelines, physician billing methodologies, and management of appeals and denials.
- Experience interacting with private, government, and workers' compensation insurance providers is advantageous.
- Excellent verbal and written communication skills, coupled with strong organizational and interpersonal abilities.
- Capability to effectively prioritize tasks and manage multiple responsibilities, meeting deadlines with adaptability to urgent situations.
Qualifications
- Previous experience in medical billing is required, with a preference for familiarity with various specialties.
- In-depth knowledge of CPT codes and related coding systems.
- Experience in navigating payer guidelines and handling appeals and denials management.
- Background working with different insurance types is a plus.
Career Growth Opportunities
Join us in a role that not only offers immediate responsibilities but also encourages professional development and the enhancement of skills within a dynamic and supportive environment. Our company promotes advancement and provides avenues for career growth, allowing you to expand your professional network within the healthcare industry.
Compensation And Benefits
- Competitive hourly wage of $21.50 for a full-time remote position.
- Comprehensive benefits package, including:
- Health, dental, and vision insurance
- Employer-sponsored life insurance
- Short-term and long-term disability coverage
- Voluntary additional life insurance options
- Employee Assistance Program
- 48 hours of sick leave after three months
- 80 hours of vacation time after six months
- Referral bonuses of $400
We invite you to apply today and become part of a forward-thinking organization committed to making a significant impact in the healthcare field.
Employment Type: Full-Time
