medical billing representative

Family Physicians of Greeley, PLLP

Come join a great team! Full time opening with busy Family Practice office. Primary responsibilities include:<ul><li>posting provider charge tickets</li><li>helping manage insurance plans</li><li>claims processing</li><li>cash handling</li><li>assisting Reception staff with questions</li><li>assisting patients with Billing questions or concerns</li></ul>Medical billing, multitasking and customer service experience preferred. Successful candidate will be a team player and have at least 2 years of experience/education in medical billing, claims processing and a great attention to detail. Receptionist skills helpful. Sat am rotation included.Job Type: Full-timePay: $17.50 - $21.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>Medical billing: 1 year (Required)</li></ul>Work Location: In person

Medical Billing Office Representative - Family Practice

The Queen's Health Systems

<div>RESPONSIBILITIES<div> 
I. JOB SUMMARY/RESPONSIBILITIES: 
<ul><li>Follows-up on payment with insurance payers and patients on outstanding accounts.</li><li>Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner.</li><li>Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients.</li><li>Responds to patient and insurance inquiries promptly and courteously.</li></ul> 
II. TYPICAL PHYSICAL DEMANDS: 
<ul><li>Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object.</li></ul> 
III. TYPICAL WORKING CONDITIONS: 
<ul><li>Not substantially subjected to adverse environmental conditions.</li></ul> 
IV. MINIMUM QUALIFICATIONS: 
A. EDUCATION/CERTIFICATION AND LICENSURE: 
<ul><li>High School diploma or equivalent.</li></ul> 
B. EXPERIENCE: 
<ul><li>One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG&rsquo;s. An associate&rsquo;s or bachelor&rsquo;s degree in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative.</li><li>Experience and/or background to demonstrate effective written and verbal communication skills in English.</li><li>Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard.</li><li>Experience to demonstrate knowledge of medical terminology.</li><li>Experience with computer based applications, SMS and/or EPIC systems preferred.</li></ul></div> 
Equal Opportunity Employer / Disability / Vet 
Your Health. Our Legacy 
Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai&lsquo;i. 
Our Values: 
Compassion guides our actions 
Aloha inspires us in all that we do 
Respect and understanding are essential for the dignity of all 
Excellence is our quest</div>

Patient Account Representative - Billing Inquiry (Full-Time, 40, Day)

HealthCare Business Services Inc.

<div>Description:

RevCycle is growing, and we&rsquo;re excited to welcome new team members! With over 30 years in business, we focus on developing our employees and helping them reach their full potential. Work remotely or from our Marshfield, WI office, with opportunities to start in our August training class.
Position Summary:<ul><li>
Delivers exceptional and consistent customer experiences by demonstrating excellence in understanding and resolving requests with patience, empathy, compassion, and sincerity. Handles customer inquiries through inbound and outbound calls as well as written communication.</li><li>
This position exists to effectively manage inquiries and concerns related to billing and insurance with the goal of offering payment options and facilitating the processing of payments. Customer Service Representatives will work in a company office or home office environment. They will operate with minimal management guidance to exceed Key Performance Indicators (number of calls handled/hr., successful payment resolution, and call quality). This role is expected to follow company and client policies, procedures, and applicable laws.</li></ul>
Essential Duties and Responsibilities:<ul><li>
Take calls from patients, law offices, insurance companies, and other outside facilities to resolve complex billing and insurance issues</li><li>
Make outbound calls and take inbound calls from patients to resolve balances on accounts with a status that may be aging but has not been sent for collections</li><li>
Answers complex billing and insurance questions (i.e. deductibles, co-insurance, co-pays, complex denials and charge disputes, claim resubmissions, eligibility issues, and coding disputes)</li><li>
Reviews financial information and recommends payment options and/or assistance programs in accordance with client guidelines</li><li>
Manages both common and challenging objections and concerns from consumers</li><li>
Discusses and helps consumer think through payment resources and makes necessary referrals to the client</li><li>
Uses required scripts/verbatims, skillfully navigating guidelines to maximize potential recovery on each call</li><li>
Maintains working understanding of account requirements, leveraging related documentation and resources as needed</li><li>
Independently and efficiently performs account documentation including notes and codes, making few errors, requiring minimal assistance</li><li>
Skillfully works within both internal and client systems</li><li>
Adheres to company Core Values and Strategic Anchors</li><li>
May learn and perform other duties and responsibilities as assigned based on business needs</li></ul>
Requirements:

Required Knowledge, Skills and Abilities:<ul><li>
Prior work experience in a call center and healthcare customer service setting is preferred</li><li>
Familiarity with Artiva and Cerner Soarian application is preferred. EPIC is a plus.</li><li>
Working knowledge of medical billing and coding is preferred</li><li>
Prior work experience in a medical office and/or general understanding of health insurance is preferred</li><li>
Able to communicate clearly, both verbally and in writing, and utilize proper grammar and telephone etiquette and provided electronic tools</li><li>
Able to navigate multiple computer applications and databases</li><li>
Moderate to advanced computer keyboard typing and navigation skill</li><li>
Able to communicate on the phone and navigate multiple computer systems simultaneously</li><li>
Able to overcome patient objections and obstacles to negotiate payment successfully</li><li>
Reliable and responsible. Arrives on time and uses time productively and efficiently</li><li>
Manages self effectively in a work from home environment, remaining focused on work and delivering required outcomes</li><li>
Possesses and demonstrates professional judgement and operates with client business acumen.</li><li>
Understands sensitive personal information (SPI) and sensitive consumer information (i.e., Protected Health Information (PHI)) and maintains confidentiality of this information</li><li>
Able to use tools provided to compute basic math calculations using addition, subtraction, multiplication, division, and percentages</li><li>
Self-motivation and committed to career success</li><li>
High School Diploma or equivalent (i.e., GED) required</li><li>
Prior supervisory experience is welcome in this growing company</li></ul>
Work Environment:
Employee works in a company office and/or home office and sits at a desk during regularly scheduled work hours. Employee will work with an online team utilizing screen monitoring and/or video conferencing. Employee answers and makes telephone calls using a computerized telephone; types on a standard keyboard; reads and comprehends information from a computer terminal and/or written resources. Employee may occasionally be required to stand or walk short distances along with bend or twist to access lower and higher desk drawers.
Career Path Note: The Customer Service Representative is a fully trained production role in the organization. They are relied upon in all cases to meet and in most cases exceed stated KPIs, goals and objectives. Those who desire may find advancement as a team lead, or in a functional role. These opportunities have unique requirements which are detailed in the respective job descriptions. Employees are also encouraged to work with their department leadership, Human Resources and/or company leadership to discuss and work toward their career goals.
Disclaimer: This job description provides a summary of essential job functions and required knowledge, skills, abilities, education, and experience. It may be modified at any time depending on the organization's needs. Management reserves the right to assign or reassign duties and responsibilities to this job at any time. The existence of this job description does not guarantee employment. It is understood that employment is &ldquo;at will.&rdquo;</div>

Healthcare Customer Service Representative (SC)

MindEngage

Key Responsibilities<ul><li>Submit, track, and follow up on medical claims with insurance providers</li><li>Verify patient insurance eligibility, coverage, and benefits</li><li>Review, investigate, and resolve denied or rejected claims</li><li>Process payment postings and reconcile billing records accurately</li><li>Perform Accounts Receivable (AR) follow-up to ensure timely collections</li><li>Communicate with insurance companies regarding claim status and reimbursement issues</li><li>Maintain accurate patient billing records and documentation</li><li>Ensure compliance with HIPAA guidelines and healthcare billing regulations</li><li>Collaborate with internal teams to resolve billing discrepancies and claim-related issues</li><li>Prepare billing reports and provide regular updates on claim status and collections</li></ul>Requirements<ul><li>Minimum 1&ndash;3 years of experience in US Medical Billing</li><li>Strong understanding of the Revenue Cycle Management (RCM) process</li><li>Hands-on experience with insurance verification, charge entry, claim submission, payment posting, denial management, and AR follow-up</li><li>Working knowledge of CPT, ICD-10, and HCPCS coding is preferred</li><li>Excellent verbal and written English communication skills</li><li>Strong analytical, problem-solving, and organizational skills</li><li>Proficiency in Microsoft Office and medical billing software</li><li>Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.</li></ul>Work Location: In person

Medical Billing Specialist

eBillingWorks

We are hiring a Business Development Executive to join our team in Lahore (onsite at Awan Market, Main Ferozpur Road).Key Responsibilities:<ul><li>Make cold calls to clinics and healthcare providers in the U.S.</li><li>Present and promote our medical billing services.</li><li>Build and maintain strong client relationships.</li><li>Achieve sales targets and contribute to business growth.</li></ul>Requirements:<ul><li>Minimum 6 months of experience in medical billing sales.</li><li>Strong communication and persuasion skills.</li><li>Ability to work night shifts (U.S. hours).</li><li>Resilient and motivated to generate leads.</li></ul>Job Details:<ul><li>Shift: 6:00 PM &ndash; 3:00 AM (Pakistan Standard Time)</li><li>Location: Awan Market, Main Ferozpur Road, Lahore</li><li>Schedule: All U.S. holidays and weekends off</li><li>Compensation: Market competitive salary + commission</li><li>If you&rsquo;re passionate about sales and eager to grow in the healthcare industry, we&rsquo;d love to hear from you!</li></ul>Pay: Rs40,000.00 - Rs100,000.00 per monthWork Location: In person

Business Development Executive – Medical Billing

Contentnea Health

<div>Company Overview
Contentnea Health is a Community Health Center providing comprehensive medical, dental and behavioral health services for members of our communities in Greene, Pitt and Pamlico counties in eastern North Carolina.
Job Summary
Submits healthcare claims accurately and efficiently, including researching and correcting denials and errors, applying discounts and adjustments, and resubmitting claims as needed to ensure timely payment.
Responsibilities and Duties<ul><li>
Performs billing and collection activities for medical, behavioral health and dental services.
<ul><li>Creates claims submissions for assigned payers and/or patient accounts.
</li><li>Corrects and resubmits rejected claims for assigned payers and/or patient accounts.</li><li>
Researches, corrects and resubmits denied claims for assigned payers and/or patient accounts.</li><li>
Follows-up with payers via the most effective channel (payer portals, email, phone) to resolve outstanding claims including filing appeals and reconsideration requests.
</li><li>Identifies credit balances for assigned payers and/or patient accounts, researches and verifies accuracy of credit balance and submits refund requests as appropriate.
</li><li>Identifies account balances meeting the criteria for bad debt write-off, researches and verifies accuracy of balance and flags balances as appropriate to be written off as bad debt.</li><li>
Posts third party payments for assigned payers and/or patient accounts accurately to charges.
</li><li>Reviews account balances for patients qualified for the Sliding Fee Discount Program and applies discounts to eligible patient charges.</li><li>
Performs work in accordance with departmental timelines for claims creation, submission, resolution of claim rejections and denials and open/unpaid claims.</li><li>
Assists with reconciliation of patient and payer payments as requested.</li><li>
Communicates with credentialing staff and/or external credentialing vendor as needed to ensure necessary enrollments and/or updates are performed to mitigate claims denials.</li><li>
Maintains all documents relevant to daily billing functions in internal data repository, e.g. remittance advices, payer correspondence, fee schedule, billing/coding rules, W9 forms, memos, charge slips, training documents etc.</li></ul></li><li>
Provides customer service to internal and external customers.
<ul><li>Acknowledges, researches, and resolves patient inquiries related to billing and financial counseling functions.
</li><li>Provides written notification to supervisor of all patient complaints regarding billing and collections.
</li><li>Responds to staff inquiries regarding patient billing and collections.</li></ul></li></ul>
Qualifications and Skills
Possesses specific knowledge and training in billing processes and practices, typically acquired during completion of a certificate program in billing practices with a duration of up to a year. Possesses a basic knowledge of medical terminology, procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors. Current certification as a Community Health Coding and Billing Specialist (CH-CBS).
MDE9rai2Eb</div>

Billing and Collections Representative

Mosaic Life Care

<div>Works under the direction of the Home Services Billing Office Manager and within the established organizational and departmental policies and procedures, is responsible for accurate claim submission with payee guidelines, accounts receivable timely follow-up and denial management issues for patient accounts activity.</div>
 <div><ul><li>Performs tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documents billing activity in the patient accounting system, such as: Reviewing electronic orders for additional information not sent in the interface transmission (i.e. handwritten information, attachments, copies of insurance cards) and updating system accordingly; completing and enter demographic information; interpreting and coding demographic information; performing specialized processing for accounts missing information; researching multiple systems for missing information and examining historical data to obtain missing information and retrieve per compliance guidelines; and contacting patient for missing information and updating system with new information accordingly.
</li><li>Accurately enters patient billing data, including supply changes into the information system.
</li><li>Works daily electronic billing file and submits insurance claims to third party payers. Reviews daily edit reports from the hospital and/or clinic billing system and makes necessary corrections to allow electronic submission.
</li><li>Reviews error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.
</li><li>Monitors claim rejections for trends and issues and reports findings to Billing Manager.
</li><li>Prepares and submits manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.
</li><li>Coordinates medical record requests as needed.
</li><li>Documents billing activity on the patient account. Ensures Home Centric compliance with all state and federal billing regulations and reports suspected compliance issues to the Billing Manager.
</li><li>Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department.
</li><li>Attends required training.
</li><li>Monitors for Medicare, Additional Development Requests (ADR) and alerts appropriate management of ADR.
</li><li>Other duties as assigned
</li></ul> 
Education
<ul><li>H.S. Diploma - High school diploma or GED equivalent - Required
</li></ul> 
Work Experience
<ul><li>Typing speed of 45 WPM preferred and 10-key by touch. - Required
</li><li>1 Year - Experience in accounting, collections and/or insurance billing - Preferred
</li><li>Computer experience - Preferred
</li></ul> 
Licenses and Certifications
<ul><li>Upon Hire
</li></ul> 
Travel Requirements
<ul><li>Travel to off-site locations may be required. - Required</li></ul></div>
 <div><div>Mosaic Life Care is a health care system in northwest Missouri. With a vision of transforming community health by being a life-care innovator, Mosaic places the holistic needs of patients first by providing the right care at the right time and place, offering high value and quality health care. 
</div><div></div> 
<div>Mosaic has a wide array of benefits to meet each employee&rsquo;s individual needs. Our benefits were designed by listening to people just like you. Mosaic also offers several perks with a focus on ensuring our employees feel valued, including concierge services, employee lounge, wellness programs, free covered parking, free on-site and virtual health clinics and many more. When paired with compensation and recognition, it is what continues to make us the employer of choice for employees at any stage of their journey.</div></div>

Home Services Billing Representative

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