Responsible for following up on identified government and non-government claims, including Medicare, Medicaid, and Government HMO accounts. The role focuses on resolving unpaid accounts in a timely and efficient manner while maintaining quality and productivity standards for Level 1 A/R follow-up.
Requirements & Qualifications
Qualifications
- High school diploma or GED required; associate degree or completion of a coding and billing program preferred.
- Minimum of 1 year of medical billing experience required; ambulance billing experience preferred.
- Knowledge of medical transportation processes.
- Familiarity with PCRs, Hospital Face Sheets, and/or CAD Sheets.
- Understanding of signature and paperwork compliance requirements.
- Knowledge of payor-specific requirements, financial classes, filing limits, and prior authorizations.
- Understanding of ALS/BLS/SCT/Gurney/Wheelchair/CCT levels of service.
- Knowledge of ICD-9 coding, condition codes, and procedure codes.
- Familiarity with government coverage guidelines and appeal/redetermination processes.
- Understanding of HIPAA and internal compliance guidelines.
- Proficiency with accounts receivable billing systems and internet tools.
- Basic knowledge of Microsoft Word and Excel.
- Strong verbal and written communication skills in English.
Benefits & Perks
Benefits
- Medical, dental, and vision insurance beginning the first of the month after hire date.
- Paid time off.
- 401(k) with employer match.
- Paid holidays and a floating holiday.
- Health insurance.
- Dental insurance.
- Vision insurance.
Location
N/A
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
4 weeks ago
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