Medical Billing Specialist
hace 1 día
At Remote Team Solutions, we strive to create exceptional teams for top companies, helping businesses save significantly on employee salary and benefit costs while minimizing the time and resource burden of active employee management and reducing staff turnover rates.
Our Client:
Provides high-quality intraoperative neurophysiological monitoring (IONM).
Responsibilities- Adhere to billing protocols and guidelines for each payer and follow verbal instructions from the Billing Operations Director.
- Investigate and resolve issues with payer claims, ensuring no duplicate claims are sent.
- Review assigned cases until closure, following established billing procedures.
- Update the Insurance Billing SOP with the most recent information and processes for assigned carriers.
- Communicate with insurance companies to ensure prompt payment of assigned claims.
- Review EOBs for assigned claims to determine if an appeal, reconsideration, or correction is necessary.
- Verify medical records match the claim form before sending records to insurance companies.
- Create appeal letters and gather supporting documentation for denied claims.
- Proactively identify and resolve issues with incomplete claims.
- Document all steps performed on each account in the billing software.
- Verify and appeal assigned claims that have not been paid according to Senate Bill 418.
- Update the insurance payers' CRM database with contact information and other relevant details.
- Adhere to communication guidelines as requested by insurance payers.
- Collaborate with the Patient Care Advocate to assist patients with claim issues.
- Communicate with patients and payers with professionalism and respect.
- Investigate and report insurance fraud to the Billing Director and company board member as needed.
- 2+ years of experience in Accounts Receivable in Hospitals, Insurance Companies, or Medical Billing.
- Bachelor's degree in Accounting, Finance, or related field.
- Conversational English.
- Good Excel skills.
- Excellent organizational skills and attention to detail.
- Strong verbal communication skills and confidence in asking questions.
- Excellent customer service skills.
- Monday to Friday from 8:00 am to 5:00 pm.
- American Holidays.
- Legal benefits.
- 2+ years of experience in Accounts Receivable in Hospitals, Insurance Companies, or Medical Billing.
- Bachelor's degree in Accounting, Finance, or related field.
- Conversational English.
- Good Excel skills.
- Excellent organizational skills and attention to detail.
- Strong verbal communication skills and confidence in asking questions.
- Excellent customer service skills.
- Monday to Friday from 8:00 am to 5:00 pm.
- American Holidays.
- Legal benefits.
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