| Accounts Receivable Billing Specialist - Remote
Accounts Receivable Billing Specialist - Remote |
Accounts Receivable Billing Specialist - Remote |
<p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Seeing a Remote AccountsReceivable Billing Specialist to be responsible for supporting the departmentin maximizing revenue and cash flow by performing charge entries, following upon all outstanding A/R, including resolution of denials, and generatingeffective written appeals to carriers to maximize reimbursement on incorrectlydenied claims. The Billing Specialist handles all correspondence related to aninsurance or patient account, contacting carriers, patients, and otherfacilities as needed to get maximum payment on accounts and identify issues orchanges. They utilize training and knowledge to interpret, understand,and apply complex Medicare guidelines to reduce claim denials, and consistentlypractice established Peak standards and expectations to achieve superior clientsatisfaction and retention. <o:p></o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Essential Duties andResponsibilities:</span></b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><o:p></o:p></span></p><ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPS codes.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Validate and verify data entered by reviewing reports for errors and correcting as necessary.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Collaborate with managers in assigned areas and provide feedback regarding documentation issues or reoccurring errors. <o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Ensure timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence through appropriate research and appeal processes.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Resolve claim rejections, underpayments, and denials with appropriate payer and initiate collection follow-up of unpaid or denied claims, interpreting remittances to determine appropriate course of action. <o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed, to achieve resolution.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system, ensuring progress is made on outstanding accounts.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Coordinate third party collections and work toward the successful reduction in outstanding balances for assigned divisions or projects.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Maintain patient confidentiality according to compliance policies and HIPPAA. <o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Respond to inquiries from insurance carriers via telephone, email and/or fax, demonstrating a high level of customer service. <o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Review and resolve uncollected accounts and prepare charge corrections and write offs.<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Take incoming and outgoing patient calls to manage collections and answer patient questions. <o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l1 level1 lfo1; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Special projects as assigned.<o:p></o:p></span></li></ul><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p><p class="MsoNormal" style="margin-bottom:0in"><b><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif">Qualifications:<o:p></o:p></span></b></p><ul style="margin-top:0in" type="disc"> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">High school diploma or equivalent<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Minimum of 2 years of experience in a fast-paced medical billing environment<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Experience in a health care setting required<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Experience working unpaid claims and denials<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Proficiency in MS Office<o:p></o:p></span></li> <li class="MsoNormal" style="margin-bottom:0in;mso-list:l0 level1 lfo2; tab-stops:list .5in"><span style="font-size:11.0pt;line-height:115%; font-family:"Calibri",sans-serif">Familiarity with CPT and ICD-10 required; CPC certification preferred<o:p></o:p></span></li></ul><p class="MsoNormal" style="margin-bottom:0in"><span style="font-size:11.0pt;line-height:115%;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p> |