Job description

Billing and Follow-Up Specialist

· Document claims billed, paid/settled, and follow-up in appropriate system(s)

· Identify and escalate issues affecting accurate billing and follow-up

· Adhere to proactive practices, including contacting the payor directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely manner

· Communicate with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information.

· Perform all routine follow-up functions, including the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring the claim is paid or settled in a timely manner

· Research claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely claim resolution

· Proactively follow up on delayed payments by contacting patients and third-party payers, determining the cause for delay and supplying additional data, as required

· May prepare special reports as directed by the Billing and Follow-Up Supervisor to document follow-up services, e.g., number of claims and dollars billed, number of claims edited, number of claims unprocessed, etc.

· Other duties as needed and assigned by the supervisor

Must Haves:

• Must possess a comprehensive knowledge of revenue cycle functions and systems
• 3+ years within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities.
• Experience in a complex, multi-site environment preferred.
• Requires a basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel
• Must have at least one covid vaccine dose by date of hire, fully vaccinated within 2 months

· Must have experience working with Third party payers, government payers, EOB, BCBS, Commercial, Medicare, Medicaid, etc

***Epic billing experience a plus but not required

Opportunity for Contract to Permanent Employee following 3-6 month contract.

Job Types: Full-time, Contract, Temporary

Pay: $17.00 - $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Are you Covid vaccinated or willing to be prior to first day?
• Do you have epic experience?

Experience:

• Healthcare Revenue Cycle: 3 years (Preferred)
• Medical Billing: 3 years (Required)

Work Location: Remote

arclintfl.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, arclintfl.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, arclintfl.com is the ideal place to find your next job.