Billing Representative II

Billing Representative II - Monday to Friday Between 7:00AM - 5:00PM Eastern

Pay range: $19.41 - $24/ hour

Salary offers are based on a wide range of factors including relevant skills training experience education and where applicable certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits information:
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy happy lives. Our pay and benefit plans have been designed to promote employee health in all respects physical financial and developmental. Depending on whether it is a part-time or full-time position some of the benefits offered may include:

• Day 1 Medical supplemental health dental & vision for FT employees who work 30 hours
• Best-in-class well-being programs
• Annual no-cost health assessment program Blueprint for Wellness
• healthyMINDS mental health program
• Vacation and Health/Flex Time
• 6 Holidays plus 1 MyDay off
• FinFit financial coaching and services
• 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
• Employee stock purchase plan
• Life and disability insurance plus buy-up option

• Flexible Spending Accounts

• Matching gifts program
• Education assistance through MyQuest for Education
• Career advancement opportunities
• and so much more!

In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient Client and/or Third Party insurance bills.

• Analyzes and applies denials to third party carriers in all media types.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on decreasing the Accounts Receivable increasing cash and/or reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to verify eligibility claim status and/or to obtain better billing information.
• Creates worklist through Access database and manipulate data to analyze for trends and resolve claims for adjudication.
• Reviews and researches denied claims by navigating multiple computer systems and platforms in order to accurately capture data/information for processing.
• Communicates and collaborates with members or providers to evaluate claims errors/issues using clear simple language to ensure understanding.
• Conducts data entry and re-work for adjudication of claims.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of: efficiency accuracy quality patient and client satisfaction and attendance.
• This position is full-time (40 hours/week) Monday Friday. It may be necessary given the business need to work occasional overtime and/or weekends or holidays.

Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Must be 18 years of age or older
• 1 years of experience in Accounts Receivable Billing or Customer Service within the healthcare insurance or healthcare industry
• 1 years of experience in Quest Billing system (QBS) and / OR Web Billing System (WBS)
• Ability using computer and Windows PC applications such as Outlook Excel instant message video conferencing
• Keyboard and navigation skills and ability to learn new computer programs
• Ability to work an eight hour shift between 7:00 AM and 4:30 PM EST Monday through Friday with the ability to work overtime based on business needs
• Reside within Eastern Standard Time Zone

Preferred Qualifications:

• Medical terminology acumen and experience

Soft Skills:

• Previous work experience in a fast paced environment requiring strong multi-tasking and problem solving skills
• Ability to resolve calls avoiding escalated complaints
• Ability to exhibit empathy and be courteous to callers
• Ability to triage and handle escalated situations
• Ability to work in a fast-paced environment
• Ability to adapt to changes
• Ability to develop and maintain client relationships

Education

• High School Diploma or Equivalent High School Diploma or Required Work Experience (Required)