Medical Billing Specialist

Employer: Collabera

Job Description

Remote position assisting with the resolution of Self Pay Accounts Receivable and/or Patient Refunds for large telehealth clients.
This is a project position and is expected to end after 5-6 months. Candidates can work anywhere in the United States but must have a confidential workspace, high-speed internet, and a smartphone.
Hours are 8:00 am – 4:30 pm EASTERN TIME Zone. Training and equipment will be provided.

Summary:

The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid.
Responsible for the timely submission of technical or professional medical claims to insurance companies.
The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Job Responsibilities:

Obtain referrals and pre-authorizations as required for procedures Check eligibility and benefit verification Review patient bills for accuracy and completeness and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid Follow up on unpaid claims within standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with contract discount Call insurance companies regarding any discrepancy in payments if necessary, Identify and bill secondary or tertiary insurances
All accounts are to be reviewed for insurance or patient follow-up Research and appeal denied claims Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
Set up patient payment plans and work collection accounts Update billing software with rate changes Updates cash spreadsheet, runs collection report

Skills:

Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Use of computer systems, software, 10 key calculator Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment Problem-solving skill to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures
Knowledge of medical terminology likely to be encountered in medical claims

Education/Experience:

High school diploma
Knowledge of business and accounting processes usually obtained from an associate’s degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred 2 to 4 years of experience.

Required Skills

Job Requirements