Medical Billing/AR Specialist

Summary

Join us as Medical Billing/AR Specialists and work from the comfort of your own home, handling payment collection activity, conducting collection activity on appealed claims, and communicating with insurance plans.

Requirements

• Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies
• Full understanding of Managed Care collections
• Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
• Knowledge of Managed Care contracts, Contract Language and Federal and State requirements
• Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
• Medical claims and/or hospital collections experience
• Minimum high school education, technical training, and/or other related experience

Responsibilities

• Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online
• Providing ongoing appropriate collection activity on appeals
• Requesting additional information from Patients, Medical Records, and others as needed
• Communicating with insurance plans and researching health plans for benefits and types of coverage
• Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed
• Handling other duties as assigned

Benefits

$18-$21/hr hourly rate