TekSystems is currently hiring for a FULLY REMOTE Medical Biller! This position would need to sit on the EST time zone area! MUST HAVE: 2-4 years or more of medical AR Experience! Must be able to work independently and remotely. Must have experience working with all insurances! Description Description Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. PRIMARY DUTIES AND RESPONSIBILITIES 1. Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. 2. Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame. 3. Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up. 4. Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted. 5. Maintains departmental QA standard within established error rate. 6. Meets team specific benchmark as it applies to completed Tracking Forms forwarded to the Operational Desk after completion on a daily basis, >$10K, >$20K, AR15, AR30, and AR45. 7. Participates in PFS workgroups, staff meetings and work events. 8. Participates in multi-disciplinary quality and service improvement team
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED