Medical Billing Specialist (AR and Collections) at Sourcefit

Work set-up: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 

Offer summary

Qualifications:

High school diploma or GED equivalent., Minimum of 3 years of experience in medical billing and collections., Experience in home infusion, hospital, or chemotherapy billing., Proficiency in Microsoft Office applications like Outlook, Word, and Excel..

Key responsibilities:

  • Follow up on submitted invoices to ensure timely payments.
  • Evaluate payments and denials for correctness and apply adjustments as needed.
  • Detect overpayments, duplicate payments, and resolve billing discrepancies.
  • Maintain confidentiality and adhere to HIPAA and regulatory guidelines.

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Sourcefit DR
11 - 50 Employees
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Job description

Position Summary:

We are actively seeking an experienced and highly motivated Medical Billing Specialist (AR and Collections) to join our dynamic team. The successful candidate will play a crucial role in managing our collection processes for TDD services. The tasks include contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered. The ideal candidate should possess in-depth knowledge of billing and collection practices and have a strong track record in resolving complex financial situations.

Job Details:

Medical Billing Specialist (AR and Collections)

Work from home

Monday to Friday | 10 PM to 7 AM (PH Time)

Responsibilities:

  • Recognize and support patients’ rights and responsibilities in the performance of job duties, while respecting their privacy and confidentiality.
  • Follow up on submitted invoices to ensure prompt and timely payment, escalating issues as necessary.
  • Evaluate payments/denials received for correctness and ensure they are applied accordingly.
  • Identify bad debt write-offs and A/R adjustments. Initiate write-offs and adjustments in accordance with established policies and procedures.
  • Detect any overpayments and/or duplicate payments and investigate and resolve accordingly.
  • Process refund requests, in accordance with policies and procedures.
  • Maintain contact with other departments to obtain the patient or insurance information needed for claim payment.
  • Understand all procedures within regulatory mandates.
  • Ensure that the collection operations are conducted in a manner that is consistent with overall department protocol and follows Federal, State, and payer regulation, guidelines, and requirements.
  • Make calls to troubleshoot payment discrepancies and establish resolution.
  • Document, in detail, phone calls, phone numbers, persons spoken to, and call details on a consistent basis.
  • Consistently look for areas to maximize claim reimbursement.
  • Resolve issues that caused a denial within 5 days of receipt of denial.
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
  • Understand NDC (National Drug Code) numbers, metric quantities, and knowledge of infusion supplies.
  • Maintain a broad range of knowledge of insurance plans, medical terminology, billing procedures, government regulations, and medical codes.
  • Share knowledge gained with other staff members and work as a team member.
  • Interact with others in a positive, respectful, and considerate manner.
  • Perform other job-related duties as assigned.

Qualifications:

  • A high school diploma or general education degree (GED) equivalent.
  • At least 3 years of medical billing and collections experience.
  • Home Infusion experience, hospital or chemotherapy experience is required.
  • Experience in calculating drug units, Intrathecal Pain Management is a plus.
  • Ability to recognize, evaluate and exercise good judgment in solving complex situations and advising in accordance with laws and regulations.
  • Excellent verbal and written communication and relationship building skills with an ability to prioritize, negotiate, and work with a variety of internal and external stakeholders.
  • Strong work ethic with personal qualities of integrity and credibility.
  • Self-directed, detail-oriented, conscientious, organized, and able to follow through.
  • Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.
  • Tolerance of frequent interruptions and distractions from staff and other internal support teams.
  • Proficiency in Microsoft Office, including Outlook, Word, and Excel.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Detail Oriented
  • Teamwork
  • Communication
  • Problem Solving

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