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Remote Medical Billing Specialist
Location:
Wilmington, DE
Description:
PRIMARY FUNCTION: Health Care Practice Management was founded in 1992 on the foundation of cultivating relationships with our clients in order to service and provide exceptional medical billing services to support their practice. Our 46 clients, all within 22 specialties, span from DE, PA, MD, and FL. We are seeking a qualified medical biller to expand our company, with the goal of innovating our processes and taking HCPM to the next level. The medical billing position will focus daily on ensuring accurate and timely submission of insurance claims, obtaining missing information, researching denials, following up on claims, collections calls and maintaining compliance with department standards, HIPAA, and governing agency policies and procedure. If a small, family- oriented business within the ever changing and evolving health care industry would be a good fit for you, and you would like to work with us, please apply as soon as possible. We look forward to meeting you! ______________________________________________________________________________ PRINCIPAL DUTIES AND RESPONSIBILITIES: Reviews incoming encounter information for completeness and requests information from Clients to resolve incomplete forms, if necessary. Accurately keys patient demographics, charges, and payments into the billing software system from input documents (encounter forms, EOB's). Prepare, review, and transmit claims using billing software, including electronic and paper claim processing within timely filing limits Uploads necessary information to the established portal and uploads to offshore to complete their tasks Reviews and manages offshore portals and review tickets to resolve claims on hold and issue logs raised Performs quality control on charge and payment batches Documents detailed notes on accounts as needed to communicate account status and to document account queries for both internal and external parties. Identifies trends affecting the client's A/R; collaborates with the operational team to ensure the overall health of the client's account and works it daily on a timely basis Reviews the status of open accounts and contacts insurance companies and patients to resolve unpaid claims. Adjusts accounts as needed (i.e., demographic changes, claim resubmissions, etc.) Answers or returns phone call to patient or client regarding account status in a timely matter Set up patient payment plans and work collection accounts Contacts and/or checks insurance company portals to resolve payment denials and claim correction issues Identify and bill secondary or tertiary insurances Timely processes refunds in accordance with Health Care Practice Management's policy regarding overpayments Files charges and payments in accordance with the current filing methods in place Attends meetings with client and internal team meetings as required Maintains professional growth and development by attending educational seminars as directed Keeps abreast of written communication regarding changes as distributed in the office Assists with creating procedures/process documentation Follows Health Care Practice Management policies and procedures Reports compliance concerns. Participates in corrective action for compliance related issues as needed. Cooperates with compliance auditing, and investigations. May participate in assisting with auditing function Other duties as assigned ______________________________________________________________________________ PERFORMANCE SKILLS Ability to revel in the details and commitment to following through on all tasks, simple and complex Knowledgeable in use of the most recent coding and reference manuals Participates in departmental and other meetings as requested Fosters a positive work environment Knowledgeable about company policies Able to be independently productive in a at home work environment Participate in a collaborative environment where teammates are supportive of others succeeding to achieve overall success within HCPM Effectively present solutions/suggestions and cultivate new ways of doing things Accepts additional responsibilities willingly Understands and adapts quickly to changes within the industry Ability to deal with highly sensitive and confidential material, strong knowledge of HIPAA privacy guidelines and requirements in at home setting Thorough knowledge of computer system functions and office machines applicable to performance of the job duties required by this position _____________________________________________________________________ WHAT HCPM WILL PROVIDE TO ENSURE YOUR SUCCESS: Two monitors [including mouse, keyboard, headset, and all necessary cords] Cross- training on all systems to ensure a check and balance internally All tools to ensure your success including opportunities to obtain certifications and attend conferences
Company:
Healthcare Practice Management
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Remote Medical Billing Specialist
Remote Medical Billing Specialist is a Clerical Billing Specialist, Medical Biller Job at Healthcare Practice Management located in Wilmington DE. Find other listings like Remote Medical Billing Specialist by searching Oodle for Clerical Billing Specialist, Medical Biller Jobs.
Remote Medical Billing Specialist is a Clerical Billing Specialist, Medical Biller Job at Healthcare Practice Management located in Wilmington DE. Find other listings like Remote Medical Billing Specialist by searching Oodle for Clerical Billing Specialist, Medical Biller Jobs.