About The Position

Reconcile incoming payments with outstanding remittances to ensure accurate payments have been made, patients are billed for appropriate amounts, and correct amounts are written off per contract requirements. Work directly with provider offices and client to rectify any potential issues leading to problems with payments.

Requirements

  • High school diploma or equivalent
  • 1+ years of banking or finance related experience.
  • Entry level knowledge of Microsoft Word/Excel/Outlook/SharePoint
  • Entry level knowledge of Ring Central/Slack/Zoom/Teams
  • Analytical skills
  • Ability to prioritize and organize multiple tasks.
  • Ability to remain organized with multiple interruptions.
  • Ability to work in a HIPAA compliant remote environment.
  • Ability to successfully communicate with colleagues and clients in a remote setting.

Nice To Haves

  • Associates degree in Business, Finance or related field.
  • 2+ years of banking or finance related experience in a healthcare environment.
  • Previous experience working in a remote/virtual environment.
  • Knowledge of health care and/or physical therapy terminology, coding, and operations.
  • Availity platform experience strongly preferred

Responsibilities

  • Review internal reports to ensure proper medical claim processing and billing has occurred.
  • Research and follow up on medical claims where proper processing has not occurred by contacting client and/or provider’s office.
  • Maintain detailed notes in proprietary web based systems to ensure proper communication is made to providers regarding medical claim status.
  • Contact client to determine medical claim status and assist in the resolution of proper medical claim processing.
  • Answer incoming calls, emails and voicemails and provide great customer service while doing so.
  • Develop and/or communicate methods to improve productivity and efficiency.
  • Contribute to the team effort by accomplishing additional responsibilities as needed.
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