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Medical Billing Specialist - Accounts Receivable Follow-Up

Remote:

Full Remote

Contract:

Full time

Experience:

Mid-level (2-5 years)

Work from:

United States

Offer summary

Qualifications:

Experience in medical billing and collections, Familiarity with UB-04 claims processing, Knowledge of denied claims and appeals process, Strong understanding of medical terminology, Proficiency in MS Office and practice management systems.

Key responsabilities:

Manage accounts receivable follow-ups efficiently
Provide training on client host system to new hires
Collaborate with AR team and support inquiries
Track productivity and identify improvement opportunities
Follow up with payers for timely claims resolution

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2 - 10 Employees

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Job description

Your missions

Description

We are seeking a dedicated Medical Biller to join our Accounts Receivable Follow-Up team. In this role, you will support hospital and facility billing processes, manage accounts receivable follow-ups, and ensure smooth UB-04 claims processing.

Duties And Responsibilities

Collaborate with the Accounts Receivable (AR) team to answer questions and provide support, fostering a positive environment for ongoing success.
Deliver initial training on our client host system to new team members.
Assist AR follow-up representatives with research and support on accounts receivable-related projects.
Help track the productivity and quality of AR representatives to enhance team performance.
Identify opportunities for improvement through one-on-one evaluations of the AR team.
Follow up with payers to ensure timely resolution of outstanding claims via phone, email, fax, or online platforms.
Maintain daily productivity and quality standards established in departmental policies, providing support for training needs to ensure team success.
Utilize the workflow system, client host system, and other available tools to collect payments and resolve accounts effectively.
Adhere to established policies and procedures for the team and clients.
Understand timely filing deadlines for each designated payer and initiate appeals as necessary.
Identify and correct medical billing errors to ensure accuracy.
Send appropriate appeals and supporting documentation, along with effective communication, to facilitate the recovery process.
Analyze and resolve issues causing delays in payer payments, while proactively identifying and trending claims issues to reduce denials.
Gain a solid understanding of underpayments and the credit balance process.
Perform special projects and other duties as needed, utilizing Excel spreadsheets and effectively communicating results.
Act cooperatively and courteously with patients, visitors, co-workers, management, and clients.
Ensure the use, protection, and disclosure of patients' protected health information (PHI) in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

Experience in insurance collections, including submitting and following up on claims for a medical practice, medical facility, medical billing company, ambulatory surgical center, or hospital.
Familiarity with UB-04 claims processing.
Experience with client host systems and training new users.
Knowledge of the denied claims and appeals process.
Extensive knowledge of individual payer websites, such as Navinet and Novitasphere.
Strong understanding of medical terminology, CPT codes, modifiers, and diagnosis codes.
Ability to work effectively both individually and as part of a team.
Proficiency in MS Office, with a basic skillset in Excel.
Experience with practice management systems, preferably EPIC PB, Allscripts, or Cerner.
Excellent communication skills, both oral and written.
Strong organizational skills to manage tasks effectively.

Employment Type: Full-Time