Medical Billing Insurance Accounts Receivable Specialist

Growing Practice Management company is seeking experienced billing/insurance specialist to work accounts receivables through to completion.

PRESCREENER QUESTIONS WILL BE SENT TO CANDIDATES WHO SUBMIT THEIR RESUME AND QUALIFY THEREIN FOR THE POSITION. INTERVIEWS WILL BE SCHEDULED AFTER PRESCREENER QUESTIONS HAVE BEEN COMPLETED.

Requirements:

Self-starter with a positive teamwork attitude and a proven track record of successfully working from home.
At least Two+ years of experience in billing insurance medical office claims electronically required
Knowledge of working with EFT, ERA and EHR computer system as well as utilizing insurance internet websites for verifying insurance to appealing claims.
Experience with insurance carriers in Texas and Arizona.
Experience with eClinicalWorks, WebPractice, Kareo/TEBRA are preferred.
Duties will include the following:

Insurance Accounts Receivable Management - NOT Patient Accounts Receivables/Collections

Unpaid Claims Follow-up with insurance carriers.
Telephone contact with insurance carriers for follow-up.
Appeal letters.
Knowledge of carrier specific billing requirements.
Secondary Claims.
Document all action taken on an account in the appropriate area in the software system.
Claims Submission

Run daily all primary and secondary insurance claims.
Attach documentation to appropriate claim forms.
Attach appropriate primary explanation of benefits to secondary claim form.
Stuff and mail claims to insurance carriers.
Run Electronic Claims.
Follow-up on denied claims on electronic report.
Follow-up on mail confirmation report.

Post all insurance explanation of benefits.
Balance daily payments.
Knowledge of allowed amounts by contract.
Make appropriate adjustments according to contract.
Post all patient revenue.
Follow-up on all unpaid explanation of benefits.
Correct charges and re-bill when appropriate.


Posting Charges

Charge entry including posting co-pays.
Confirm accuracy of patient billing information in computer.
Balance daily charges.
Knowledge of appropriate coding practices.
Statements

Run collection reports
Review for accuracy and additional collection procedures.
ERA

Run daily electronic remittance advice.
Post the daily electronic remittance advice.
Correct any denied or down-coded claims.
Appeal inappropriately denied services.'
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Remote interview process via Zoom
Must be able to work either Arizona or Texas working hours.
Must pass HIPAA compliance training before starting
Must meet other remote worker compliance requirements.
Must provide computer and two monitors/internet /Peregrine to provide Computer App for Software, Phone and Fax

DO NOT apply if your onlinejobs.ph employment listing is not verified with the proper credentials.

Please submit an up-to-date CV/resume via the OnlineJobs.ph site that includes all relevant experience and software used; current dates of employment.

Hourly rate is dependent on experience; IF YOU SPEAK SPANISH, PLEASE INDICATE THAT IN YOUR RESUME.