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A/R Billing Specialist

SunMED Medical is looking for a self-motivated individual to join our team as a full-time remote AR/Billing Specialist.

Responsibilities

  • Contact insurance company regarding outstanding balances
  • Determines denial reason and send in appeals/redeterminations
  • Rebill insurance companies or other third parties to secure payment for patients
  • Process insurance payments to patient accounts in Brightree
  • Run Aging report for follow up denials/or claims not worked
  • Create and mail insurance claims and patient statements, if necessary
  • Verify all entries made by front end and makes corrections, if necessary
  • Make recommendations to management for write-offs
  • Reach out to ordering physicians for required documentation
  • Other duties as assigned

Qualifications

  • Experience with all the above responsibilities
  • Prior audit experience
  • Insurance verification experience, and payor knowledge for Medicare and Commercial insurances
  • Working knowledge of durable medical equipment as it applies to the above
  • Brightree experience is a plus
  • Excellent time management skills with strong attention to detail
  • Computer proficiency, along with the ability to type
  • Superior/excellent computer skills using remote access and a computer network, which includes thorough knowledge of Outlook and more than a basic familiarity with Excel.
  • The ability and acumen to understand software platforms and how to use them effectively. Eventual complete knowledge of these platforms is essential to be effective in this position. Platforms: Outlook, Teams, Excel

Further consideration on compensation possible based on experience.

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • AD&D insurance
  • Dental insurance
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Tuition reimbursement
  • Vision insurance
  • Work from home

People with a criminal record are encouraged to apply

Experience:

  • Medical billing: 1 year (Preferred)
  • DME: 1 year (Preferred)
  • Brightree software: 1 year (Preferred)

Work Location: Remote

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