Medical Billing/AR Specialist - Remote

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. This will include:

• Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online
• Providing ongoing appropriate collection activity on appeals
• Requesting additional information from Patients, Medical Records, and others as needed
• Communicating with insurance plans and researching health plans for benefits and types of coverage
• Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
• Handling other duties as assigned

• Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies
• Full understanding of Managed Care collections
• Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
• Knowledge of Managed Care contracts, Contract Language and Federal and State requirements
• Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
• Medical claims and/or hospital collections experience
• Minimum high school education, technical training, and/or other related experience

We will supply equipment, but to work from home, you must have:

• Excellent Internet connectivity:
  • Internet access speeds of at least 5 Mbps upload and 30 Mbps download – the faster the better!
  • In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
• A quiet and distraction-free, secure place to work.