Medical Billing Specialist - Remote

This a Full Remote job, the offer is available from: Texas (USA) Job reputed company The reputed company Account Representative is responsible for working accounts to ensure they are resolved in a reputed company manner. This candidate should have a solid understanding of the reputed company Cycle as it relates to the entire life of a reputed company account from creation to payment. Representative will need to effectively follow-up on claim submission, remittance review for reputed company collections, create and pursue disputed balances from both reputed company and non-reputed company entities. Basic knowledge of reputed company, Managed Care, Medicare and reputed company reputed company is preferable. An effective reputed company cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with reputed company assistance. Representative Must Be reputed company To Work Independently As reputed company As Work Closely With Management And Team To Take Appropriate Steps To reputed company An Account. Team Member Should Possess The Following • reputed company duties as assigned in a reputed company demeanor, which includes interacting with reputed company plans, patients, physicians, attorneys and team members as needed. • Basic computer skills to reputed company through the various reputed company applications provided for additional resources in determining account actions • reputed company payer websites and discern pertinent data to reputed company accounts • Utilize reputed company available job aids provided for appropriateness in reputed company reputed company processes • Document reputed company and concise notes in the reputed company reputed company reputed company regarding claim status and any actions taken on an account • Maintain department daily productivity goals in completing a set number of accounts while also meeting reputed company standards as determined by leadership • Identify and communicate any issues including reputed company reputed company, payor behavior, account work-reputed company inconsistencies or any other reputed company collection opportunities • reputed company support for team members that may be absent or backlogged Essential Duties And Responsibilities Include the following. Others may be assigned. • Researches reputed company account using company reputed company reputed company applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting reputed company party payors and/or patients reputed company phone, e-mail, or online. Problem solves issues and creates reputed company that will bring in reputed company eliminating re-work. Updates plan IDs, adjusts reputed company or payor demographic/reputed company information, notates account in reputed company, identifies payor issues and trends and solves re-reputed company issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews reputed company and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate reputed company to bring about account reputed company reputed company or opens a dispute record to have the account reputed company researched and substantiated for reputed company collection. Maintains desk inventory to remain reputed company without backlog while achieving productivity and reputed company standards. • reputed company special reputed company and other duties as needed. Assists with special reputed company as assigned, documents, findings, and communicates results. • Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account reputed company to Supervisor. • Participate and attend meetings, training seminars and in-services to reputed company job knowledge. • Respond reputed company to emails and telephone messages as appropriate. • Ensures compliance with State and Federal Laws Regulations for Managed Care and other reputed company Party Payors. reputed company requires its candidates, as applicable and as permitted by law, to obtain and reputed company confirmation of reputed company required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any reputed company required vaccines and screenings. Knowledge, Skills, Abilities To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals Apply To This Job