Remote Medical Biller
Description:
General Summary:
To provide thorough follow-up and/or re-billing of unresolved hospital (UB04) and possibly physician (1500) insurance claims. The project has claims from a variety of payer types including Medicare, Medicaid, Managed Care, Blue Cross Blue Shield, and Commercial insurance companies.
Essential Job Functions:
• Responsible for performing claim research and electronic claims follow-up work with multiple insurance companies either by electronic system or phone depending on insurer, to resolve accounts which have been billed but remain unresolved.
o Reviewing notes on client systems to see what work has already been performed.
o Determining next steps by either using electronic tools or calling the insurance company to determine claim status, depending on insurer.
o If no claim is on file, it will need to be re-billed electronically through the client's systems.
o If a claim is rejected, find out why and make a determination if it can be re-billed with proper information, if it should be patient responsibility, or if it is a timely filing issue.
o If coding needs to be changed, submit to appropriate group for review.
• Work specific payers/insurers and accounts as assigned by management.
• Responsible for submitting accounts to be written off or changed to patient responsibility.
• Responsible for claim denials and determining how to resolve the claim either by correction, re-billing, or if it was rejected authorization issues.
• Maintaining a productivity of 25 accounts/day with a 90% quality rating.
• Responsible for working from multiple computer systems simultaneously and learning them quickly.
• Perform limited training and support to billing associates being moved to a new client or those simply needing assistance.
• Receive ongoing training on different payer mixes, clients, and client systems.
• Following all Federal and State guidelines concerning the proper handling of medical receivables.
• All other duties as assigned by management.
Skills:
Microsoft office, microsoft windows, claims processing, medical billing, medical terminology, customer service
Top Skills Details:
Microsoft office,microsoft windows,claims processing,medical billing,medical terminology,customer service
Additional Skills & Qualifications:
Knowledge, Skills and Abilities: - Employee must be comfortable with the following: Microsoft Windows operating systems (Windows 7 and 10), Microsoft Office Productivity Suite (Word, Excel, and Outlook version 2016), learning and working with different payers.
Experience Level:
Intermediate Level
About Aston Carter:
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At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.
Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit AstonCarter.com. Aston Carter is a company within Allegis Group, a global leader in talent solutions.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [email protected] (%[email protected]) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.