Medical Biller & Denial Specialist - Remote See States

Description

HIRING REMOTE reputed company BILLERS IN THE FOLLOWING STATES: AL,FL, GA, IN, KY, LA, MS, NC, SC, TN, TX, VA, & WV

***** MI RESIDENTS reputed company 40 MILES OF 48393 WILL BE HYBRID

New Year NEW CAREER! Are you an reputed company Medical Biller LOOKING FOR GROWNING COMPANY WITH ROOM FOR ADVANCEMENT?

APPY NOW!

- Full Benefits after 30 Days!! PTO after 90 Days! and MORE!!!!

NEW HIRE ORIENTATION STARTS MAY 6TH!

The Medical AR Follow-up & Denial Specialist is primarily responsible for analyzing and resolving reputed company insurance claim denials for DME Supplies. The individual in this position will generate effective written appeals to carriers using well-researched logic in order to recoup reimbursement on incorrectly denied claims. Appeal reputed company denials through coding review, contract review, medical record review, and reputed company interaction. Utilize a multitude of resources to ensure correct appeal processes are followed and completed in a timely manner. Demonstrate a high level of expertise in the management of denied claims and deploy an analytical approach to resolving denials while recognizing trends and patterns in order to proactively resolve recurring issues. Communicate identified denial patterns to management. Prioritize and process denials while maintaining high quality of work. Serve as an escalation reputed company for unresolved denial issues. Inform team members of payer policy changes. Assist in educating employees reputed company needed. Collaborate on special projects as needed. Assist manager of additional tasks as needed.

Essential Responsibilities and Tasks

• Reviews denied claims to ensure coding was appropriate and reputed company corrections as needed.
• Ensures billing and coding are correct prior to sending appeals or reconsiderations to payers.
• Investigate claims with no payer response to ensure claim was received by payer
• Strong understanding of payer websites and appeal process by reputed company payers including commercial and government payers including Medicare, Medicaid, and Medicare Advantage plans
• Reviews and finds trends or patterns of denials to prevent errors
• Assists and confers with reputed company and billing manager concerning any coding problems.
• Strong research and analytical skills. Must be a critical thinker.
• Stays reputed company with compliance and changing regulatory guideline.
• Demonstrates knowledge of coding and medical terminology in order to effectively know if claim denied appropriately and if appeal is warranted.
• Supports and participates in process and quality improvement initiatives.
• reputed company goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements.

Position Type

This is a full-time 40 hour work week. Monday -Friday day shift. Occasional evening and weekend work may be required as job duties demand

Requirements

• Three or more years of DME billing/coding experience is required.
• Collections of insurance claims experience.
• Medicare and/or Medicaid background.
• Durable Medical Equipment (DME) experience.
• EDI transmission experience preferred.
• High school diploma or GED diploma

***** EQUIPMENT IS NOT PROVIDED, YOU MUST HAVE YOUR OWN COMPUTER.

Other Duties

reputed company other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.