AR Medical Biller

Summary

Join MedCore Solution, Bizforce's medical division, as a Work From Home Medical Biller/Accounts Receivable Specialist (US Healthcare). You will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. This permanent work-from-home position offers the opportunity to work with a dynamic team and utilize the latest technology and resources. The role requires at least 3 years of US Medical AR Specialist experience, Firenote EMR experience, and knowledge of hospice and medical billing and coding practices. You will be responsible for managing accounts receivables, coordinating with healthcare providers and insurance companies, handling denied claims, and ensuring compliance with HIPAA regulations. The position offers a competitive salary, weekly paychecks, fixed weekends off, and HMO reimbursement after 90 days.

Requirements

• At least 3 years of experience as US Medical AR Specialist
• Must have a Firenote EMR Experience
• Knowledge in hospice
• Knowledge of medical billing and coding practices
• Strong understanding of healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software
• Amenable to work in any US time zones (graveyard shift)
• Device (Desktop or Laptop)
• Processor : Windows Devices : Intel Core i5 (or higher) or AMD Ryzen 5 (or higher). Mac Devices : Apple M1 chip or newer
• RAM : Minimum of 8GB or higher for optimal performance
• Operating System : Windows : Windows 11 Pro (Windows 10 Pro is acceptable but not preferred). The operating system must have a legitimate license. Mac : macOS compatible with M1 or newer chips
• Hard Disk : At least an SSD for faster processing and performance
• Internet Connectivity : Minimum speed of 50 Mbps via a wired connection for stability and reliability. A backup internet connection is highly recommended

Responsibilities

• Manage accounts receivables and keep up-to-date records
• Coordinate with healthcare providers and insurance companies for claim submission and follow-up
• Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Maintain Medicare bad-debt cost report
• Secure outstanding balance payments for care of employees
• Verify insurance eligibility for patients and ensure timely payment
• Handle denied claims and appeal if necessary
• Reconcile payments and post to patients' accounts
• Maintain compliance with HIPAA regulations
• Handle patient inquiries regarding their accounts

Preferred Qualifications

• Reduce coding and billing error rate
• Achieve the target collections goals set and collections status report
• Reduced number of denials and complaints
• Achieve an accuracy rate of 99%
• Utilization of billing and coding software programs
• Power Supply : A backup power supply (e.g., UPS or generator) to prevent disruptions during power outages (optional but encouraged)

Benefits

• Weekly Paychecks
• Fixed Weekends Off
• HMO Reimbursement on your 90th day
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs