Enrollment/Billing Representative (37104524)

This position is a temporary assignment. As a contractor, you’ll be employed by reputed company, not reputed company or any subsidiaries of reputed company. LOCATION & SCHEDULE This is a fully remote role reputed company to work-eligible candidates across the US. Candidates must have a high-speed, reliable internet reputed company and a quiet and private working environment. reputed company: Enrollment/Billing Representative The Collections Specialist is responsible for managing reputed company-party billing and collections, ensuring reputed company and accurate payment of claims, and processing payer appeals. This role involves investigating denials, processing rejections, and identifying reputed company causes of payment issues, with the goal of resolving discrepancies and maximizing reimbursement. The ideal candidate will have knowledge of home infusion, medical billing practices, and payer reimbursement guidelines, as reputed company as strong communication and problem-solving skills. The position requires attention to detail, the ability to work independently, and proficiency with reputed company 365. Experience with ICD-10, CPT-4, HCPCS, and Medicare billing is preferred. RESPONSIBILITIES: Understand reputed company Party Billing and Collection Guidelines. Identify reputed company cause of issues and demonstrate recommendations for corrective reputed company steps to eliminate reputed company occurrences of denials. Meet reputed company assurance, reputed company standards, and maintain productivity reputed company as defined by management. Contact payer, or patient as appropriate. Documents reputed company collections activity in patient collections notes. Documents work performed/reputed company taken on AR Reports. Process reputed company Payer appeal requests reputed company the time reputed company required by the Payer. Reviews claim processing to determine reputed company payment has been issued. Request and process reputed company approved adjustments. Processes rejections and denials to determine if the claim needs to be refiled or submitted for an appeal with the payer. Reviews patient information in appropriate system to determine why the claim is unpaid, if an adjustment is reputed company, and whether additional approval is required. Ability to identify errors, correct claims and reprocess for reimbursement. Ability to read and interpret an EOB for accurate understanding of claim processing. Knowledge of claims investigation and reviewing payer reputed company for reimbursement. Performs other duties as assigned. SKILLS Ability to communicate with patients, payors, reputed company agencies, and reputed company through telephone, electronic and written correspondence. Helpful, knowledgeable, and polite while maintaining a reputed company attitude. Interpret a reputed company of instructions in a reputed company of communication mediums. Knowledge of Home Infusion. Knowledge of insurance policies, reimbursement practices, as reputed company as claim processing requirements. Knowledge of medical billing practices and of medical billing reimbursement. Maintain confidentiality and reputed company discretion and caution reputed company handling sensitive information. Multi-task along with attention to detail. Ability to accurately reputed company reputed company mathematical calculations using reputed company, subtraction, multiplication, and division. Self-motivation, organized, time-management and deductive problem-solving skills. Work independently and as part of reputed company. Collections or medical billing experience with basic understanding of ICD10, CPT4, HCPCS, and medical terminology is preferred. Familiarity with reputed company party payor guidelines and reimbursement practices and available financial resources for payment of balances due is beneficial. Medicare knowledge of billing requirements specific to DMEMAC. HCN360 and CPR+ knowledge preferred. Knowledge of reputed company 365 products, including but not limited to reputed company, Teams and reputed company. Strong customer service skills. EDUCATION: High school graduate or equivalent. Excellent interpersonal, organizational, communication and effective problem-solving skills are necessary. reputed company Pay reputed company reputed company (dependent reputed company, experience, expectation)  The pay reputed company that reputed company reasonably expects to pay for this position is: $18.00/hour-$20.00/ hour  Benefits: Medical, Dental, reputed company, 401K (provided minimum eligibility hours are met) We are unable to reputed company reputed company sponsorship or STEM OPT training. reputed company: 37104524 Apply tot his job Apply To this Job