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Medical Billing – Appeal – Medicaid/Workers’ Compensation – Follow Up Specialist - On-Site or Remote

extra holidays

Remote:

Full Remote

Contract:

Full time

Salary:

35 - 35K yearly

Experience:

Mid-level (2-5 years)

Work from:

Italy, Missouri (USA), United States

Offer summary

Qualifications:

Fluent in English, 3+ years in healthcare billing, Knowledge of Medicaid/Workers’ Compensation guidelines, 1+ year in a call center environment, High School diploma or equivalent.

Key responsabilities:

Follow up on appeal status for claims
Process payor responses to appeals
Handle inbound/outbound calls with payors and patients

Air Evac Lifeteam Large https://www.lifeteam.net/

1001 - 5000 Employees

See more Air Evac Lifeteam offers

Job description

Medical Billing - Appeal - Medicaid/Workers’ Compensation - Follow Up Specialist

On-Site or Remote

Starting Pay $18.00

Job Summary

The Medical Billing - Appeal - Medicaid/Workers’ Compensation Follow Up Specialist will follow-up on appeal status with traditional Medicaid, MCOs, and Workers’ Compensation payors in a timely manner to achieve maximum reimbursement on claims zero and under paid claims.

Essential Functions/ Duties

Conducts online and phone follow-up on pending appeal responses.
Processes all payor responses to submitted appeals.
Handles inbound/outbound call center calls for payors and patients/guarantors.

Qualifications

Required Experience

Must be fluent in English
Minimum three (3) years of experience in healthcare/revenue cycle billing environment
Above average knowledge of various Medicaid and Workers’ Compensation payor billing guidelines
Ability to interpret remittance advices/explanation of benefits
Minimum of one (1) year in a call center environment
Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience

Appeal writer experience
Proficient in Word, Excel, Office 365

Required Education

High School diploma or equivalent

Skills

Ability to define and identify problems, collect data, establish facts, and draw valid conclusions
Ability to respond to inquiries or complaints from customers in a positive and productive manner
Ability to calculate numbers, correct entries, and post to records
Ability to gather data, compile information, and prepare reports
Ability to use independent judgment and to manage and impart confidential information
Ability to prepare routine administration

Working Conditions

Work in a team environment
Utilize various software programs
May be required to sit for long periods of time
Duties require the employee to regularly reach with hands and arms; speak and hear
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.