Panama City, FL

Medical Biller/AR 

Payrate: $17.50/hr

Hours: M-F 8am-6pm

Remote

Summary: The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities

.Job Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes
• Updates cash spreadsheet, runs collection reports

Skills:

• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Use of computer systems, software, 10 key calculator
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Able to work in a team environment
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims

Education/Experience: High school diploma Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred 2 to 4 years of experience.

Experience user (2 years) performing back-end billing activities including but not limited to denials, submitting appeals, checking claim status via websites for multi-specialty providers.' Preferred experience with TMHP and Athena IDX system.

Medical Biller/AR 2 

Payrate: $15.50

Standard Business Hours: M-F 8am-6pm

Remote position

Summary: The main function of a medical biller is to submit medical claims to insurance companies and payers such as Medicare and Medicaid. Responsible for the timely submission of technical or professional medical claims to insurance companies. The position may be located in physician offices, hospitals, nursing homes, or other healthcare facilities.

Job Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes
• Updates cash spreadsheet, runs collection reports

Skills:

• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Use of computer systems, software, 10 key calculator
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Able to work in a team environment
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims

Education/Experience:

High school diploma

Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration (preferred 2 to 4 years of experience.)

AR Followup, Insurance credit balance resolution, Texas payer knowledge; specifically, Texas Medicaid plans, familiarity with recoup processes, IDX system knowledge

Remote position but must be close to Nashville, TN area.

Payrate: $19/hr

Hours: M-F 8am-5pm CST

The main function of a customer service representative is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service representative is responsible for determining the client’s issue, offer possible solutions or providing follow-up as needed. Customer service agents may be inbound, outbound or a combination of both.

Job Responsibilities:

• Approve the resolution of customers’ service or billing complaints by authorizing activities such as exchanging merchandise, refunding money, and adjusting bills.
• Act as escalation point for clients/customers.
• Approve the referral of unresolved customer grievances to designated departments for further investigation.
• Review, monitor and audit records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
• Obtain and examine all relevant information to assess validity of complaints and to determine possible causes.
• Solicit sale of new or additional services or products.

Skills:

• Verbal and written communication skills, attention to detail, customer service skills and interpersonal skills.
• Strong ability to work independently and manage one’s time.
• Strong ability to accurately document and record customer/client information.
• Strong leadership and mentoring skills necessary to provide support and constructive performance feedback.
• Previous experience with computer applications, such as Microsoft Word and PowerPoint.

Education/Experience:

High school diploma or GED required.

8 to 10 years of customer service related experience required.

Minimum Requirements 

• 1+ years of work experience; Healthcare and/or Insurance billing or processing and customer service, call center preferred Critical Skills (Required):

• Proficient computer skills with Microsoft Office: Excel, Word and Outlook Additional Knowledge & Skills

• Overall, good knowledge of healthcare payments (insurance & patient responsibility).

• Good understanding of the payment process industry (ACH, EFT and Credit Cards).

• Minimal supervision needed

Summary

The main function of a customer service representative is to interact with customers to provide information in response to inquiries about products and services and to handle and resolve complaints. A typical customer service representative is responsible for determining the client’s issue, offer possible solutions or providing follow-up as needed. Customer service agents may be inbound, outbound or a combination of both.

General Duties

• Resolve customers’ service or billing complaints by performing activities such as exchanging merchandise, refunding money, and adjusting bills.
• Contact customers to respond to inquiries or to notify them of claim investigation results and any planned adjustments.
• Refer unresolved customer grievances to designated departments for further investigation.
• Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
• Work in a high-volume call center environment with the ability to multi-task and utilize multiple system components within a single call. Will also need strong ability to talk/type to minimize talk time.
• Completes and processes necessary paperwork as assigned (i.e., Financial Assistance, PHI disclosures, etc.…)
• Works collaboratively with peers and senior management
• Completes/Resolves CRMs and/or AIFs within expected time frames

Skills Needed

• Verbal and written communication skills, attention to detail, customer service skills and interpersonal skills.
• Ability to work independently and manage one’s time.
• Ability to accurately document and record customer/client information.
• Previous experience with computer applications, such as MS Outlook, MS Excel, and MS Word (Intermediate Level)
• - Computer/data entry skills required - System knowledge preferred - Must be proficient with computers and attentive to detail - Possess analytical and problem solving skills - Strong written and oral communication skills - Experience working with various insurance policies and procedures related to claim adjudication and payment processes; - Can utilize resources to complete tasks and orchestrate multiple activities at once to accomplish goals(talk/type while on phone with patients) - Ability to problem solve in a timely manner with efficient resolutions - Represents the office/Organization in a positive manner; supports and encourages strong morale and spirit in his/her team - Works well with others - Must maintain patient/client confidentiality - Employee is regularly required to sit, use hands to finger, handle, or feel objects, tools, or controls and talk or hear. Employee must occasionally lift and/or move up to 25 pounds - Cerner experience preferred

Education/Experience Needed

• High school diploma or GED preferred.
• Entry to 2 years of customer service-related experience required.
• 2-3 years of additional schooling/related work experience; including 1 year of Physician Billing A/R Follow Up
• Strong customer service experience