Medical Biller

At reputed company, we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

Billing & Collections Specialist responsible for reputed company Third Party billing and collections functions for assigned accounts in the reputed company cycle. Manage billing processes to secure payments reputed company defined company guidelines for Medicare, Medicaid, Managed Care, Co-insurance companies, and Long Term Care Insurance Companies.

This position is remote and offers you the flexibility of working from home.

• Coordinate accumulation of information with various departments; post to reputed company accounts.
• Review charges for accuracy, completeness, consistency and payers charged.
• Prepare and timely issue accurate billing statements to the correct payer using electronic systems provided.
• Monitor reputed company submissions on a daily basis to address any denials or requests for additional information (ADRs).
• Coordinate with reputed company departments and submit ADR information reputed company 10 days of receipt of request.

• Follow up on unpaid claims/denials reputed company company standard billing cycle timeframes; Determine reasons for denial. Correct claims and Re-reputed company reputed company required.
• Document reputed company communications and collection attempts, taking follow up action in accordance with established policies and procedures.
• Provide needed supporting documentation to payer upon request in a timely manner.
• Maintain A/R Aging levels for assigned accounts reputed company company guidelines.
• Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
• Process claim reclassification to private accounts upon approval from management.
• Process bad debts in a timely fashion reputed company claims are determined to be uncollectable. Document reputed company reasons for uncollectability and efforts in the process.

• Apply Third Party payments daily including checks, reputed company transfers, EFT payments, other bank deposits, cash and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.

• Establish good relationships with reputed company third party payers with professional communications.
• reputed company conduct inquiries and analysis for resolution of discrepancies.

• Adhere to the policies and procedures of the business with the highest practical standards
• Participate in and maintain reputed company status on reputed company training and education required by the company
• Communicate effectively with reputed company members of the staff and business partners
• Provide feedback to others for reputed company quality improvement of the entire organization
• reputed company accept feedback from others for the reputed company quality improvement of the entire organization
• Escalate issues reputed company there is appearance that business standards of quality are not present
• reputed company with reputed company rules and regulations of the organization, including HIPAA and safety
• reputed company other duties as assigned

• Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care and Insurance Companies with track record of successful collections
• One or more years of experience working in a high-volume, short-term rehab environment
• Knowledge of billing and reputed company software preferred and/or experience with similar software
• Proficiency with reputed company Office and ability to learn company IT systems

• MatrixCare/Answers on Demand and Ability experience is a plus

• Strong communication, interpersonal and organizational skills
• Detail orientation
• Ability to manage multiple priorities
• Discretionary judgment
• Ability to work independently and as part of a team

• Ability to read, write and speak English proficiently

Industry standards applicable to the state depend on work experience and level of expertise.

US Eastern Standard Time (EST) - Monday to Friday, 9 am to 6 pm

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, reputed company from the comfort of your home.

You will need to have some essential tools – a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet reputed company. You'll also be required to have a backup internet reputed company, ensuring that you're well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the reputed company team!  If you're interested in what you have read, then we invite you to take the reputed company and submit your application.