Job description

Must-haves

- High School or GED

- Minimum 1+ years of medical insurance collections experience

- Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)

- Experience with insurance claims and insurance denials

- Experience in payor portals and EHR systems

Plusses

- Experience in Biologics, Infusion, or Interventional Radiology revenue

- Experience in a gastro specialty

- Experience with eClinicalWorks

Day-to-Day

- Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution

- Maintains active communications with insurance carriers and third-party carriers until account is paid.

- Negotiates payment of current and past due accounts by direct telephone and written correspondence.

- Updates patient account information.

- Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor.

- Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up.

- Manage all assigned worklist daily for assigned insurances.

- Utilize collection techniques to resolve accounts according to company's policies and procedures.

- Report any coding related denial to the Coding Specialist.

- Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility.

- Conducts necessary research to ensure proper reimbursement of claims.

Job Type: Contract

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• ICD-10: 1 year (Required)
• Medical billing: 1 year (Required)

Work Location: Remote

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