Empleos actuales relacionados con Medical Billing Specialist - Torreón, Coahuila de Zaragoza - Remote Team Solutions
-
Data Governance Specialist
hace 1 mes
Torreón, Coahuila de Zaragoza, México Michael Page A tiempo completoJob SummaryAs a Data Governance Specialist at Michael Page, you will be responsible for ensuring the quality and integrity of master data across the organization. This includes managing the proper handling of master data, verifying its cleanliness and standardization, and eliminating duplicates, inconsistencies, and errors.The ideal candidate will have more...
-
Data Governance Specialist
hace 3 semanas
Torreón, Coahuila de Zaragoza, México Michael Page A tiempo completoJob SummaryAs a Data Governance Specialist at Michael Page, you will be responsible for ensuring the quality and integrity of master data across the organization. This includes managing the proper handling of master data, verifying its cleanliness and standardization, and eliminating duplicates, inconsistencies, and errors.You will also be responsible for...
-
Occupational Health Specialist
hace 3 semanas
Torreón, Coahuila de Zaragoza, México John Deere A tiempo completoJob Title: Coordinador de Salud OcupacionalAt John Deere, we're committed to making a positive impact on the world. As a Coordinador de Salud Ocupacional, you'll play a vital role in ensuring the health and well-being of our employees.Key Responsibilities:Provide advanced medical guidance and support to employees, including interpretation of medical...
-
Product Specialist
hace 2 semanas
torreón, México Deere & Co A tiempo completoAI and Autonomy Product Specialist ID: 107954 Job Description There are over 8 billion people on this planet. And by 2050, there will be 2 billion more... many moving into urban centers at an unprecedented rate. Making sure there is enough food, fiber and infrastructure for our rapidly growing world is what we're all about at John Deere. And it's why we're...
-
Coordinador de Salud Ocupacional
hace 3 meses
Torreón, México John Deere A tiempo completoThere are 7 billion people on this planet. And by 2050, there will be 2 billion more... many moving into urban centers at an unprecedented rate. Making sure there is enough food, fiber and infrastructure for our rapidly growing world is what we’re all about at John Deere. And it’s why we’re investing in our people and our technology like never before...
Medical Billing Specialist
hace 2 meses
About Us: At Remote Team Solutions, we specialize in creating high-performing teams for forward-thinking businesses, helping companies save significantly on employee salary and benefit costs while streamlining their HR processes and reducing staff turnover rates.
Our Client: Provides cutting-edge intraoperative neurophysiological monitoring (IONM) solutions.
Responsibilities:
- Claims Management: Adhere to established protocols and guidelines for each payer, following verbal instructions from the Billing Operations Director.
- Investigation and Resolution: Investigate why payer claims are not on file, why claims were not processed electronically, and ensure no duplicate claims are sent.
- Case Review: Review all assigned cases until closure as per the Billing SOP.
- Documentation and Updates: Update the Insurance Billing SOP with the most recent information and processes for assigned carriers.
- Communication: Call and speak with insurance companies after reviewing the EOB or claim notes to ensure prompt payment of assigned claims.
- Appeals and Reconsiderations: Review EOBs for assigned claims to determine if an appeal, reconsideration, or correction is necessary, verifying that the modifier, CPT codes, and ICD-9/ICD-10 codes are in the correct order.
- Record Management: Ensure medical records match the claim form before sending records to insurance companies.
- Appeal Letters and Supporting Documentation: Create appeal letters and gather supporting documentation to investigate if appeals are completely denied or if only one item is denied.
- Proactive Issue Resolution: Proactively search for all possible reasons why a claim may be considered incomplete and work to resolve it.
- Documentation and Tracking: Document all steps performed on each account immediately in the billing software as per the Billing SOP, including documenting that medical records were sent and received by fax or certified mail with acknowledgment of receipt.
- Senate Bill 418 Compliance: Verify and appeal, if necessary, all assigned claims that have not been paid according to the calculations of Senate Bill 418.
- CRM Database Updates: Update the insurance payers' CRM database, including contact information, payer preferences, and any other information that may assist in future collection processes.
- Communication Guidelines: Adhere directly to all communication guidelines as per specific requests from the insurance payer.
- Patient Assistance: Work with the Patient Care Advocate to enlist patient assistance with the claim.
- Professional Communication: Communicate with patients and payers with the utmost respect and professionalism.
- Fraud Investigation: Investigate insurance fraud and report it to the Billing Director and then to the company's board member as needed.
- Additional Tasks: Perform other tasks as assigned.
Requirements:
- Experience: 2 or more years of experience in Accounts Receivable in Hospitals, Insurance Companies, or Medical Billing.
- Education: Bachelor's degree in Accounting, Finance, or related field.
- Language Skills: Conversational English (indispensable).
- Technical Skills: Good Excel skills.
- Soft Skills: Excellent organizational skills and attention to detail, strong verbal communication skills, and confidence in asking questions.
- Customer Service: Excellent customer service skills, with experience in providing high-quality customer service and handling inquiries and complaints professionally and efficiently.
- Written and Communication Skills: Excellent written and communication skills.
What We Offer:
- Work Schedule: Monday to Friday from 8:00 am to 5:00 pm.
- Holidays: American Holidays.
- Benefits: Legal benefits.
