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Medical Biller/ AR Denial Specialist at Limitlessli

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Microsoft Excel
  • Time Management
  • Teamwork
  • Proactivity
  • Detail Oriented
  • Verbal Communication Skills

Roles & Responsibilities

  • Minimum 2 years of AR or healthcare billing experience (preferably in skilled nursing or long-term care)
  • Familiarity with PCC and David's System
  • Knowledge of Medicare, Medicaid, and private insurance billing
  • Strong attention to detail; proficient in MS Excel; excellent verbal and written English communication

Requirements:

  • Follow-up with payers to ensure timely resolution of outstanding claims via phone or websites
  • Utilize the workflow system, client host system, and other tools to collect payments and resolve accounts while meeting daily productivity/quality standards
  • Research payer-specific billing guidelines and proactively analyze trends to reduce denials; initiate appeals when necessary
  • Communicate issues and trends to management and ensure PHI is used, protected, and disclosed in accordance with HIPAA standards

Job description

At Limitlessli we specialize in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging our extensive global network, we connect clients with highly qualified professionals, offering tailored services to meet our clients' unique business needs.

The Opportunity:

This is a unique opportunity to join a fast-growing team at Limitlessli and make a meaningful impact in healthcare from the comfort of your home. As an AR Specialist for Skilled Nursing Facilities, you’ll play a vital role in ensuring smooth and timely reimbursement processes, directly contributing to the financial health of our clients. You’ll gain valuable experience working with a variety of payer systems and enjoy the flexibility to develop your skills in a supportive, remote environment.

This position is remote and offers you the flexibility of working from home.

Your responsibilities will include:

  • Follow-up with payers to ensure timely resolution of all outstanding claims via phone or websites
  • Meets and maintains daily productivity/quality standards established in departmental policies
  • Utilizes the workflow system, client host system, and other available tools to collect payments and resolve accounts
  • Adheres to the policies and procedures established for the client/team
  • Knowledge of timely filing deadlines for each designated payer
  • Performs research regarding payer-specific billing guidelines as needed
  • Ability to proactively analyze, identify, and trend claims issues to reduce denials
  • Communicate with management about any issues and trends identified
  • Initiate appeals when necessary
  • Understanding of under or over-payments and credit balance processes
  • Use, protect, and disclose patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

To succeed in this role you will need:

  • Minimum 2 years in AR or healthcare billing, preferably in skilled nursing or long-term care
  • Familiarity with PCC and David's System
  • Knowledge of Medicare, Medicaid, and private insurance billing
  • Strong attention to detail
  • Proficient in MS Excel
  • Excellent verbal and written English communication skills

Service Fee:

Industry standards applicable to the state depending on work experience and level of expertise.

Hours:

US Eastern Standard Time (EST) – 9am to 6pm

Why Limitlessli?

We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.

Essential requirements:

You will need to have some essential tools – a reliable computer and noise-cancelling headset, a second monitor for enhanced productivity, and a stable internet connection. You’ll also be required to have a backup internet connection, ensuring that you’re well-equipped to complete your work seamlessly.

Don't miss out on this opportunity – apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.

JOIN OUR TEAM!!

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