Medical Billing Specialist (ZR_27389_JOB)

Job Description

This is a remote position.

Schedule : Monday to Friday, 8 : 00 AM - 5 : 00 PM PST with 1 hour unpaid lunch

Job Description :

The billing and coding Specialist will have strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and have a proven track record working in a healthcare practice environment in accounts receivable.

Responsibilities :

• Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
• Analyze excel spreadsheets and raw data.
• Denial management process
• Telephone insurance carrier / patient to seek resolution on accounts.
• Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
• Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from the payer.
• Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
• Identify trends in payer non-compliance and inform management if not able to resolve with payer.
• Negotiate within specified guidelines with payers.
• Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
• Follow up with appropriate staff to locate missing information.
• Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
• Maintain necessary logs
• Participate in departmental meetings as necessary.

Qualifications :

Independent Contractor Perks

ZR_27389_JOB

Requirements

Requirements