This is a part-time position. The schedule for this position will be either 9am-2pm or 12pm-5pm, Monday-Friday.
The purpose of this position is to submit inpatient and outpatient claims to Government payors, and to follow-up these claims until payment is received and/or accounts are resolved.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Process claims reports and upload all accounts that requires claim submission
Verify eligibility, member benefits, authorization requirements and billing address of each claim to be submitted
Review UB04 information, correct claim errors, print and submit each UB04 claim with all the required attachments
Track receipt of each claim, and periodically call or check online for claim status
Work the claims dashboard for claim follow-up and documentation
For claims paid, verify receipt of payment and review if paid in accordance with expected reimbursement
File appeal or grievances for denied or underpaid claims
Request adjustments to resolve paid, underpaid or denied accounts
Assist in the preparation of claims reports
Closely communicate and coordinate with the client hospitals with respect to their accounts
Respond to other tasks assigned by the department manager
QUALIFICATIONS AND REQUIREMENTS
High School diploma preferred except where required by our client.
Completed Medical Billing Course or has equivalent of at least 6 months billing experience is preferred
The successful candidate must read, speak, write and understand the English language fluently
Keyboarding skills, at least 35 wpm
Working knowledge of Outlook, Word, and Excel
Dependable and highly detailed individual
Willingness to learn new systems and functions
High commitment to customer service to our internal and external clients
Possess a high level of integrity – must show good judgment and confidentiality at all times
Must occasionally lift and/or move up to 20 pounds
Good working knowledge of MS Office, Windows and Exchange email required.
Excellent customer service skills (friendly, courteous and helpful).
Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client’s staff members.
Strong analytical and problem solving skills a must
Ability to multi-task; excellent organizational and planning skills required.
MedData is an Equal Opportunity Employer
Tagged as: USA
Customer Support Specialist Remote – USA Welcome to the CS Fam CommentSold is a social commerce platform that modernizes the...Apply For This Job
Job Description: As a Customer Service Representative, you’ll bring your expertise to deliver exceptional service and solutions to customers through...Apply For This Job
This is a Customer Service Work From Home Position at $17.50 per hour with a $1000 sign on bonus. Handles...Apply For This Job
Enterprise Holdings is looking to add virtual agents to our Support Services’ Reservations Sales team! If you… Are able to...Apply For This Job
We are looking for an active Virtual Assistant who could provide administrative support to companies remotely by answering phone calls,...Apply For This Job
*Must Be Located within 50 miles of San Antionio, TX* eBay is a global commerce leader that allows you to...Apply For This Job