Insurance Billing Representative - Remote (see full posting for eligible states)

Job Title

Responsible for two aspects of billing, collection, credit, payments, and / or reconciliations. Billing responsibilities include manual re-bills as well as electronic submission to payers. Follow-up includes telephone calls to payers and / or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary.

Responsibilities

Billing

• Demonstrates knowledge of editing and submitting claims to insurance clearing house by electronic or paper submission.
• Demonstrates knowledge of when to send a claim to the auditor or coder for corrections.
• Reviews and make corrections to rejected claims and resubmits to payers.
• Open communication on Updates-CPT codes and ICD-10 codes, as needed. Works with Billing Manager to maximize revenue potential based for services and providers.

Claim Follow Up

Compliance / Safety

Qualifications

Education High School Diploma or GED- Required

Experience Medical Insurance Billing / Collections- Preferred

Medical / Hospital Billing- Preferred

Knowledge UB04- Preferred

Knowledge of Explanation of Benefits (EOB)- Preferred

Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.