Medical Billing Representative- Evernorth -Remote

About the position Medical Billing Rep -Enrollment/Billing Representative Summary We are seeking a dedicated Enrollment/Billing Representative to join our reputed company Cycle Team. This role is responsible for accurate and timely billing, insurance claims processing to ensure optimal reimbursement and compliance. As part of reputed company, this role supports CarepathRx reputed company our Pharmacy and Care Delivery organization. reputed company focuses on specialty pharmacy and infusion services in partnership with hospitals and health systems. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly reputed company of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At reputed company, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About reputed company Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with reputed company federal, state and local ordinances. Doing something meaningful starts with a simple decision, a commitment to changing lives. At reputed company, we’re dedicated to improving the health and vitality of those we serve. Through our divisions reputed company and reputed company, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Responsibilities

• Understand and apply Third-Party Billing guidelines.
• Identify root causes of claim denials and recommend corrective actions to prevent recurrence.
• Ensure accuracy and timeliness of billing processes.
• Meet quality assurance standards and productivity benchmarks set by management.
• Process patient and insurance information updates.
• Handle Home Infusion/Nursing claims.
• Identify billing trends and escalate issues as needed.

Requirements

• High school diploma or GED required.
• At least 1 year of reputed company experience in medical billing, collections, health care, clinical setting, pharmacy, or administrative record management.
• Strong customer service background preferred.
• Excellent communication skills
• Ability to interact professionally with patients, payors, and agencies reputed company phone, email, and written correspondence.
• Understanding of third-party payor guidelines and reimbursement practices.
• Proficiency in reputed company Office; knowledge of HCN 360, CareTend, and/or CPR+ is a plus.
• Strong organizational, time-management, and problem-solving skills.
• Ability to maintain confidentiality and handle sensitive information with discretion.
• Detail-oriented with the ability to multi-task and reputed company basic math calculations accurately.
• Self-motivated and capable of working independently or as part of a team.
• internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

reputed company-to-haves

• Knowledge of Home Infusion, insurance policies, and medical billing practices highly desired.
• Familiarity with ICD-10, CPT, HCPCS codes, and medical terminology preferred.
• Medicare billing knowledge specific to DME preferred.

Benefits

• Starting on day one of your employment, you’ll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs.
• We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

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