Logo for PMB Precision Medical Billing, Inc.

Revenue Recovery Associate

Role overview

Qualifications

  • High School Diploma
  • 2-3 years of medical billing or insurance experience required
  • Understanding of office applications, including MS Office (Word, Excel, Outlook)
  • Home Health RCM Experience needed

Responsibilities

  • Provide effective communication amongst all team members regarding claim creation errors and/or trends regarding reasons for denials or outstanding claims.
  • Ensure accurate submission of client claims.
  • Distribute billing reports weekly to all clients.
  • Monitor and follow up on progress of submitted claims and paperwork.

Key facts

  • Remote from: Anywhere
  • Fixed term
  • Mid-level (2-5 years)
  • English

Other skills

  • Microsoft Office
  • Communication
  • Problem Solving
  • Teamwork

About the company

PMB Precision Medical Billing, Inc. logo

PMB Precision Medical Billing, Inc.

Digital Health & Health Tech

Precision Medical Billing’s goal is to make it easier for the medical industry to complete their primary mission of providing quality, reliable healthcare to their patients, without having to worry about continuously changing payment regulations in order to get paid for the services they provide. Since our founding in 1995, Precision Medical Billing has expanded our business to offer various services to help improve internal billing departments as well as collect millions of dollars that would otherwise have been lost due to erroneous billing. We are a dedicated billing company, complete with a team of professionals that will work for agencies, administrators and physicians to maximize their revenues.

Company details

IndustryDigital Health & Health Tech
Company size11 - 50

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Job description

This is a remote position.

Position Summary: 

Revenue Recovery Associates are responsible for keeping AR within acceptable limits by aggressively following up on all outstanding claims including resolving denials, appealing claims for additional payment, ensuring patient/client billing information in the provided software is accurate. Accuracy is critical, as this is our business’ fundamental process.

 

Essential Duties and Responsibilities

To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

·         Provide effective communication amongst all team members

              regarding claim creation errors and/or trends regarding reasons for
              denials or outstanding claims.

·         Ensure accurate submission of client claims

·         Distribute billing reports weekly to all clients

·         Review daily collections and monthly reporting, as well as

              recommendations for billing audits

·         Monitor and follow up on progress of submitted claims and paperwork

·         Identify lost revenue through AR cleanup/follow up

·         Verify accuracy of data, compile data and translate information into

              multiple formats

·        Identify and recommend potential revenue challenges to maximize

              reimbursements within the terms of the facility agreements

·         Other job duties as assigned



Requirements

  •  High School Diploma
  • 2-3 years of medical billing or insurance experience required
  • Understanding of office applications, including MS Office (Word, Excel, Outlook)
  • Home Health RCM Experience needed
  • Minimum of 1-2 years of home health or hospice billing experience (preferred)
  • Knowledge of Medicare, Medicaid, commercial insurance and Medicare Advantage billing
  • Ability to verify patient insurance eligibility and benefits
  • Knowledge of Medicare NOA/NOE and final claim processes
  • Understanding and Knowledge of Authorizations
  • Experience with EVV (preferred)

 



Benefits

This is a contract position and is not eligible for company-sponsored employee benefits. Compensation will be based on the agreed hourly rate and approved hours worked.



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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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