About us
We are a remote medical billing company providing insurance billing for many different specialities and companies. We work together as a team to ensure accuracy and effeciency when it comes to resolving claim issues. We are collaborative, supportive and innovative.
Our work environment includes:
- Work-from-home
- Relaxed atmosphere
- On-the-job training
- Safe work environment
Medical insurance specialist requires fundamental knowledge of filing insurance claims on 1500 HCFA/UB claim form, how insurance companies pay accordingly to contracts, how to read and interpret an insurance explanation of benefits (EOB), and do precise follow-up with the insurance company via, phone, email, insurance web sites, etc. at an acceptable volume per day.
Essential Functions:
- Initiate correction on all claims with errors by the designated time.
- Follow up on any correspondence that may have been received on that day or the previous day.
- Completes precise follow-up of insurance aging claims with no response as well as denied claims.
- Create and submit appeals package to various payers as needed.
- Submit electronic billing daily.
- Work to resolve all rejections by billing system and payers.
- Claim volume verification.
- Report trends regarding denials or any claim specific process to management timely.
- Cross train on billing all lines of business to the different payers.
- Specialist will complete and review accounts that may have a credit balance and resolve the account.
- May post payments from the different payers to patient’s accounts when applicable.
- Assure that the collection of deposits and co-pays when applicable.
- Assists patients and staff with questions concerning their insurance coverage.
- Perform all other duties as assigned.
Qualifications
- High school graduate
- Medical terminology knowledge preferred
- Basic computer knowledge, Excel proficient strongly preferred.
- One-year insurance follow-up/denial experience preferred.
Laboratory billing preferred but not required
Knowledge, Skills, and Abilities Required
- Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude.
- Must be able to read and interpret an EOB.
- Ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks independently.
- Ability to initiate communication with patients, co-workers, and management effectively and respectfully.
- Willingness to develop or improve processes and/or procedures as needed.
- Must have analytical mindset.
- Must be able to trend denial and claims with no response and report issues to management timely and effectively.
- Must be able to hold oneself accountable and stick to schedule.
- Must be dependable and on time.
- Ability to prioritize your own work.
- Knowledge of medical insurances (Medicare, HMO’s, PPO’s, commercial, MCO’s Medicaid) regulations, physician billing and collection process.
Job Type: Full-time
Pay: $33,956.00 - $40,792.00 per year
Benefits:
- 401(k)
- Paid time off
- Work from home
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Experience:
- Medical Billing: 1 year (Required)
Work Location: Remote
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