Gov Insurance Specialist (Remote Central, Mountain, or Pacific Time Zone) - Meditech Experience Required
About The Position
Support our healthcare partners & help them thrive at Meduit! Insurance Follow-Up Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments. If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today!
Requirements
- High School Diploma/GED
- Meditech expertise
- 4 years of Denials Management experience
- 4 years Medical Billing/Follow-up experience
- 3 years of Medicare, Medicaid, or other government payor experience
- Proficiency in medical coding (ICD-10, CPT, HCPCS)
- Proficiency with billing software and electronic health record systems
- Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED for internet.
Nice To Haves
- Integrity
- Communication
- Problem-solving
- Teamwork
Responsibilities
- Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements
- Verify accuracy of billing data and revise any errors
- Import/post payments from all Government payors
- Timely resolution of all claims including appeals
- Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors
- Work with personal information and maintain patient confidentiality
- Reduce outstanding accounts receivable by managing claims inventory
- Gather, verify, and input patient demographic, clinical, and financial information from various sources to ensure accurate registration, billing, and eligibility for services
- Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
- Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
- Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients
Benefits
- Medical, Dental, and Vision insurance
- HSA and FSA available
- 401(K)plans with company match
- PTO and Paid holidays
- Employer paid life insurance and long-term disability
- Internal company growth
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
