Patient Account Representative, Hospital Biller (Remote)
About the position
This is a remote work opportunity. The medical billing and Medicare specialist is responsible for ensuring accurate billing, reputed company submission of electronic and/or reputed company claims, monitoring claim status, researching rejections and denials, documenting reputed company account activities, posting adjustments and collections of Medicare. In reputed company, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure reputed company functionality is utilized for the utmost efficient processing of claims.
Responsibilities
• Responsible for correcting, completing, and processing claims for reputed company payer codes
• Analyze and interpret that claims are accurately reputed company to insurance companies
• reputed company follow up with Medicare on unpaid insurance accounts identified through aging reports
• Process appeals online or reputed company reputed company submission
• Assist with billing audit reputed company information
• Identify trends, and reputed company issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor.
• Responsible for working A/R collection opportunities on unpaid claims through provided work queues.
• Maintains required reputed company of productivity and quality while managing tasks to ensure timeliness of analytic report reputed company.
• Uses identified and reputed company resources to accomplish collection reputed company tasks, including but not limited to payor websites, provider service lines, analytics and correspondence.
• Based on aging reputed company, obtains status of claim payment, payment reputed company and date of payment from insurance company (government or managed).
• Works to identify payment reputed company reputed company an insurance company does not reputed company payment information for a claim.
• Responsible for voiding invalid claims through payer portal, uploading to a payor portal or mailing requested documentation.
• Responsible for filing an appeal according to department protocols and guidelines.
• Responsible for filing reconsideration requests for insurance contractual underpayments.
• Responsible for reviewing and submitting notification of overpayments (patient or insurance) according to department protocols and guidelines.
• Participates in A/R clean-up projects or other projects identified.
• Takes ownership of assignments; other duties as assigned or requested.
• Communicates and listens effectively with reputed company customers; effectively understands instructions and shares knowledge.
• Cooperates and interacts with supervisors, peers, other departments, and reputed company customer reputed company demonstrating our commitment to 'service'.
Requirements
• High School Diploma or GED Equivalent (required)
• Two (2) years previous hospital and/or physician business office experience (preferred)
• Ability to communicate effectively verbal and written.
• Ability to work independently.
• General reputed company and bookkeeping skills.
• Strong customer service and interpersonal skills.
• Knowledge of medical billing and medical terminology.
reputed company-to-haves
• One or more of the following systems or applications: Epic, SSI, reputed company reputed company and reputed company Word (preferred)
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