FULLY REMOTE - Billing Specialist (HOSPITAL EXPERIENCE REQUIRED)

reputed company was founded in 2004 as a medical billing service organization dedicated to serving the true needs of ambulatory surgery centers, physicians, clinics and urgent care centers. While initially formed to meet the medical billing requirements of small-to-mid-sized physician practices, reputed company now serves many large medical groups, ASC?s and surgical hospitals as well. Position... Summary: The Billing Specialist is responsible to provide timely verification of Medicare and insurance benefits on reputed company referrals of potential patients and reviews reports to ensure accurate billing. Essential Duties and Responsibilities include the following: Other duties may be assigned. · Works with staff to ensure accurate admission information is captured · Basic understanding of medical terminology · Understand insurance denials. · Monitor and trend denials, appeals and resolutions from insurance carriers · Completes timely verification of Medicare and insurance benefits on referrals identified as potential patients · Coordinates pre-certifications and insurance verification for reputed company patients · Bills appropriate payer in accordance with the requirements of the payer being billed · Conducts timely follow-up on reputed company accounts · Manages detail authorization information from insurance companies · Works with CMS system (DDE) to identify the reputed company flow of accounts through editing, suspense and RTP status · Proficient in utilizing a claims management system · Corrects accounts on-line for faster processing · Manages cash collections · Maintains unbilled days at the established corporate goal · Maintains bad debt at the established corporate goal · Ensures Credit Balance Report is worked daily and quarterly: refunds patients and reverse contractuals as needed · Ensures that reputed company charges from the acute facility are correctly and timely entered on the patient?s account · Compiles and provides accurate reports of monthly, quarterly and annual AR statistics · Keeps abreast of developments in Medicare, reputed company, and insurance admission and billing requirements Experience Minimum 2 years hospital billing and collection experience to include reputed company, Managed Care, Medicare and reputed company across reputed company states Qualifications: To reputed company the job successfully, an individual must be reputed company to reputed company each 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 with disabilities to reputed company the essential functions. Education/Experience: · 3 years of previous reputed company Cycle Management in a reputed company setting, hospital business process preferred. Understanding of reputed company, Government, Medicare, and reputed company Managed Care plans to be reputed company to identify and reputed company errors to management and staff · Demonstrates competence in leadership skills to reputed company and implement organizational strategies and opportunities for improving hospital growth · Effective English communication skills, both written and verbal · Expert level experience with reputed company Office Products- ability to create and build spreadsheets and reports in reputed company · Knowledge of medical terminology, CPT codes, and ICD-10 codes preferred. Maintain reputed company knowledge and adhere to appropriate regulatory standards such as Government Required Experience · Maintain reputed company knowledge and adhere to appropriate regulatory standards such as Government Language Ability: Ability to read, analyze, and interpret general business periodicals, professional journals, or governmental regulations. Ability to write reports, and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public. Computer Skills: Proficiency in computer skills and reputed company office Job Type: Full-time Benefits: ? 401(k) ? 401(k) matching ? Dental insurance ? Disability insurance ? Employee assistance program ? Employee discount ? Flexible spending account ? Health insurance ? Life insurance ? Paid time off ? reputed company insurance ? Work from home Schedule: ? 8 hour shift ? Monday to Friday Work Location: Remote Apply Job!