Medical BillingAR Specialist (EnglishSpanish)
Share
Job Location:
Marshall County, WV - USA
Monthly Salary:
Not Disclosed
Posted on:
17 hours ago
Vacancies:
1 Vacancy
Job Summary
In this position you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved disputed or sent to Legal. This will include:
- Conducting collection activity on appealed claims by contacting government agencies third party payers via phone email or online
- Providing ongoing appropriate collection activity on appeals
- Requesting additional information from Patients Medical Records and others as needed
- Communicating with insurance plans and researching health plans for benefits and types of coverage
- Reviewing contracts and identifying billing or coding issues and requesting re-bills secondary billing or corrected bills as needed.
- Handling other duties as assigned
Qualifications :
- Thorough understanding of the revenue cycle process from patient access (authorization admissions) through Patient Financial Services (billing collections) procedures and policies
- Full understanding of Managed Care collections
- Familiarity with terms such as MMC HMO PPO IPA and Capitation and how these payers process claims
- Knowledge of Managed Care contracts Contract Language and Federal and State requirements
- Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
- Medical claims and/or hospital collections experience
- Minimum high school education technical training and/or other related experience
- Bilingual in English/Spanish
Additional Information :
We will supply equipment but to work from home you must have:
- Excellent Internet connectivity:
- Internet access speeds of at least 5 Mbps upload and 30 Mbps download the faster the better!
- In-house network and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
- A quiet and distraction-free secure place to work.
IMPORTANT NOTE: This job is open only to residents of the United States and you must be authorized to work in the US in order to be considered for employment.
EEOC and Veteran Documentation
During employment employees are treated without regard to race color religion sex national origin age marital or veteran status medical condition or handicap or any other legally protected status.
At times government agencies require periodic reports from employers on the sex ethnicity handicap veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping reporting and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information please note that all
Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.
Remote Work :
Yes
Employment Type :
Full-time
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Sutherland is seeking an organized and reliable person to join us as Admin Specialist. We are a group of driven and supportive individuals. If you are looking to build a fulfilling career and are confident you have the skills and experience to help us succeed, we want to work with you ... View more
