Rcm Billing Specialist

Summary

Join Ni2 Health's Billing Team as a Hospital Billing Specialist! This remote position requires a minimum of 3 years of hospital billing experience and a strong understanding of medical billing rules. You will research and re-bill unpaid claims, bill hospital and professional claims, verify insurance benefits, and maintain patient financial files. The role involves generating invoices, researching denied claims, negotiating with responsible parties, and resolving accounts. Ni2 Health offers a supportive work environment, competitive hourly wages based on experience, and a full benefits package including 401k with company match and a progressive PTO policy.

Requirements

• Submit a full CV, cover letter and updated resume
• Understand medical billing rules
• Know Microsoft Office Suite software
• Have a minimum of 3 years of experience with medical billing in a hospital setting
• Have proven experience with hospital inpatient/outpatient billing knowledge
• Be able to function independently to bill hospital and professional claims
• Be able to function independently to complete thorough follow-up on hospital AR
• Be able to function independently to complete thorough processes for proper denial management
• Gain exposure to our proprietary tools and technology

Responsibilities

• Research and re-bill unpaid claims
• Bill hospital and professional claims
• Verify insurance benefits or payment source on all patients
• Set up patient financial files
• Accurately input computer data on all patients, notes, and claims
• Generate invoices for insurance billing, individual account billing, and follow-up billing for deductibles and copays
• Research denied or pending claims and provide additional information to facilitate claim payment
• Negotiate with the responsible party on accounts more than sixty days past due. When unable to secure an agreement satisfactory to both parties, submit these accounts to the Client Services Manager for review prior to turning to private collection
• Collect patient information and verify reimbursement source. Maintain patient financial files. Generate billing invoices and be responsible for collections
• Maintain confidentiality
• Research and resolve accounts appearing in Follow-up Reports
• Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked
• Correct all errors on electronic error reports using all the available information
• Meet production and quality standards
• Assist in identifying current and/or potential billing issues
• Participate in daily production assignments that will continue to develop an understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
• Take patient phone calls and assist Customer Service when business needs arise

Preferred Qualifications

Action oriented and looking to learn and grow with Ni2 to advance within the organization

Benefits

• Hourly wage based on experience
• Full benefits to include 401k with company match, progressive PTO policy with paid holidays