Our company is growing aggressively and we are looking for experienced medical specialists to help serve our clients. This role will work clearinghouse edits in SSI and CollaborateMD. The role with also help with patient refunds, credits and answer patient phone calls. Phone coverage will run from 6p EST - 11p EST. This is a work from home opportunity. If you aren't available in the evenings to help with patient calls no need to apply
Responsibilities Include:
- Understanding of primary code classifications: ICD-10, CPT and HCPCS. Assign and sequence all CPT and ICD-10 codes for services rendered when required.
- Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Proficiency with Collaborate MD and/or Cerner a plus.
- Following up on unpaid claims within standard billing cycle time frame.
- Checking each insurance payment for accuracy and compliance with contract discount.
- Calling insurance companies regarding any discrepancy in payments when necessary.
- Identifying and billing secondary or tertiary insurances.
- Researching and appealing denied claims.
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
- Setting up patient payment plans and work collection accounts.
- Updating billing software with rate changes.
- Updating spreadsheets, and running collection reports.
- Making sure to use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
- Providing exceptional customer service skills when interacting with patients, family members regarding medical claims and payments.
- Using problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Qualifications
- Certified Professional Biller (CPB) from AAPC or AHIMA a plus
- Post High School Education
- Minimum five years of coding experience
- Knowledge of medical terminology likely to be encountered in medical claims.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Proficiency in Excel
- Ability to work independently and maintain confidentiality at all time
- Must be able to use job-related software, ie Collaborate MD and/or Cerner
- Expertise in surgical coding, primary care, urology, cardiology, general surgery a plus
- Maintain a positive, courteous and professional attitude
Job Types: Full-time, Part-time, Contract
Pay: $15.00 - $17.00 per hour
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
- Weekends as needed
Work setting:
Application Question(s):
- Are you available 6p-10p EST to take patient phone calls?
- Have you worked clearing house rejections in SSI. If not, please confirm the clearinghouses you have worked in. If you have worked in SSI, please list how recently. Again SSI experience is a HUGE Plus
Experience:
- Debits & credits: 2 years (Required)
- Refunds: 2 years (Required)
- Medical Billing: 2 years (Required)
Work Location: Remote