We are hiring in the following States:
AZ, CA, CO, CT, FL, GA, HI, IL, MA, ME, MN, MO, NV, OK, PA, TN, TX, VA
This is a remote position. Candidates who meet the minimum qualifications will be required to complete a video prescreen to move forward in the hiring process.
Hourly Rate: $18.50 - $21.00
Benefits: PTO, 401K, medical, dental, vision, life insurance, paid holidays, and more.
Please note that we are looking for people who have physician billing experience in collections and have some HB billing experience, in high dollar collections, adjustments, and denials management.
Job Overview
Skilled revenue cycle collector. Oversee and work account receivables for physician claims (CMS-1500) to ensure client compliance. Provide great customer experience while working to collect and negotiate terms of payment on outstanding account balances. Work in a professional, customer-centered way; taking inbound calls and making outbound calls.
Job Duties and Responsibilities
- Submit physician medical claims in accordance with federal, state, and payer mandated guidelines.
- Research, analyze, and review physician claim errors and rejections and make applicable corrections.
- Ensure proper physician claim submission and payment through review and correction of claim edits, errors, and denials.
- Maintain required knowledge of payer updates and process modifications to ensure accurate claims.
- Investigate, follow up with payers, and collect the insurance accounts receivables assigned.
- Determine reason for non-payment and take appropriate action.
- Escalate stalled physician claims to manager.
- Verify and modify physician claims accordingly to ensure that client account sits at correct liability and balance with payer.
- Identify any payer specific issues and communicate to team and manager.
- Participate and contribute to daily shift briefings.
- Comply with productivity standards while maintaining quality levels.
- Be receptive to feedback and continual performance improvement, and willingness to grow and learn.
- Punctual, dependable, and adapt easily to change.
- Demonstrate strong character by showing accountability and responsibility.
- Perform work duties using ethical decision-making processes.
- Take professional responsibility for quality and timeliness of work product.
Qualifications
- High school diploma or equivalent.
- One year experience working at Currance as an ARS I, or 1+ years of experience working with physician claims to secure insurance payments.
- One year experience with physician/non-physician provider follow-up in a group or hospital-owned practice using claim form HCFA 1500.
- Experience with Epic preferred.
- Proficiency with computer including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.
Knowledge, Skills, and Abilities
- Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.
- Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration.
- Skilled in medical accounts investigation and validating payments.
- Ability to make decisions and take action.
- Ability to learn and use collaboration tools and messaging systems, and then apply.
- Ability to maintain a positive outlook, a pleasant demeanor, and a mature nature during all interactions, acting in the best interest of the organization and the client.
- Takes professional responsibility for quality and timeliness of work product.
- Achieves results with little oversight.
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