Remote Profee Medicare Medical Billing Specialist | Work from Home

Job Overview

Join a respected third-party billing organization as an Accounts Receivable Follow-Up Representative, with a focus on Profee Medicare. This role presents an exciting chance to contribute to a dynamic department recognized for its professionalism and supportive work environment. These positions are temp-to-hire, offering a competitive hourly wage ranging from \(19 to \)20, based on your experience.

Key Responsibilities

• Engage proactively with payers to ensure timely resolution of outstanding claims via phone calls, emails, faxes, and online platforms.
• Uphold and exceed productivity and quality benchmarks as outlined in departmental policies.
• Utilize the MPower workflow system along with other client-host systems to effectively collect payments and resolve accounts.
• Adhere to established policies and procedures for both the team and the client, maintaining professionalism.
• Monitor timely filing deadlines for designated payers and initiate appeals when necessary.
• Identify and rectify medical billing discrepancies, ensuring accurate communication and supporting documentation throughout the recovery process.
• Analyze challenges that may hinder payment from payers, thereby proactively minimizing claim denials.
• Understand and manage underpayment and credit balance processes, performing special projects as required, and effectively utilizing Excel spreadsheets for result communication.
  
  

Required Skills

• At least 1 year of experience in insurance collections, particularly in submitting and following up on claims within a Medical Practice, Ambulatory Surgical Center, Hospital, or Medical Billing Company.
• Essential Profee Medicare experience.
• Minimum of 1 year of experience in Physician/Professional Billing.
• Familiarity with the denied claims appeals process.
• Knowledge of Workers’ Compensation and Personal Injury Protection (PIP) is advantageous.
• Previous experience in Hospital/Facility or Physician billing is preferred.
• Comprehensive knowledge of individual payer websites, including Navinet and Novitasphere.
• Understanding of Medical Terminology, CPT Codes, Modifiers, and Diagnosis Codes.
• Strong ability to work independently and collaboratively in a team atmosphere.
• Proficient in MS Office, with foundational Excel skills.
• Experience with GE Centricity or EPIC PB is favored.
  
  

Qualifications

• Minimum of 1 year of relevant experience in insurance collections and billing is required.
  
  

Career Growth Opportunities

This position offers potential for advancement within a growing department, allowing for skill development and an increased scope of responsibilities.

Company Culture And Values

Our organization prides itself on fostering a supportive and professional culture within a modernized office environment, emphasizing teamwork and mutual respect among all employees.

Networking And Professional Opportunities

Be part of an industry-leading firm that opens doors to networking, skill enhancement, and collaborative opportunities on platforms such as LinkedIn.

Employment Type: Full-Time