Medical Billing A/R Specialist (Hybrid in Fairlawn, Ohio)

GBS-Odyssey Health Systems•Fairlawn, OH

5d•Hybrid

About The Position

At GBS RevCycle, we're transforming healthcare with our comprehensive Revenue Cycle Management (RCM) solution. We're on the lookout for dedicated individuals to join our team as Medical Billing A/R Specialists for both Professional and Facility charges. With a hybrid work schedule potential and a host of enticing benefits, this is your opportunity to grow in a dynamic and ever-expanding field. Why Choose GBS RevCycle: Hybrid Work Schedule Potential : Enjoy the flexibility of a hybrid work environment. Full-Time Benefits : We care about your well-being. Our benefits include Medical, Dental, Vision, Accident, Disability Insurance, PTO, Holidays, Wellness plans, Profit Sharing, 401(k), and more. Location: Fairlawn, OH Are You Ready for an Exciting Medical Billing Career? GBS RevCycle is at the forefront of the industry, and we're growing rapidly. Join us if you're motivated, ambitious, and ready to make a difference! Position Summary: As a Medical Billing A/R Specialist, you'll play a critical role in ensuring the smooth processing of claims and billed charges. Your responsibilities include navigating payer and clearinghouse websites, utilizing excellent communication skills during phone interactions, and striving for one-touch resolution. Understanding the unique requirements of each payer and staying within time limits for claim and appeal submissions are crucial aspects of this role. Additionally, you'll need to comprehend explanation of benefits from various carriers and identify trends for efficient management.

Requirements

High School Graduate or equivalent
minimum of 1 year of AR Follow-Up experience preferred
In-depth knowledge of insurance and reimbursement processes
familiarity with medical terminology
exceptional communication, and time management skills
Proficiency in basic computer applications (word processing, Excel)
Adaptability to changing work environments, detail orientation, and exceptional multitasking abilities
Maintaining confidentiality within a HIPAA-secure environment

Responsibilities

efficiently manage daily AR reports, ensuring accuracy and timeliness
engage in effective follow-up via phone calls or website navigation with insurance carriers or patients to resolve unpaid claims
navigating insurance websites and gathering crucial information
verifying insurance eligibility, benefits, and obtaining necessary LCDs/Carrier Policies
understanding of managed care authorizations and coverage limits, particularly within various specialties
researching credit balances, preparing refunds under Supervisor approval, and promptly addressing customer inquiries and correspondence requests
conduct a weekly review of rejected claims, identifying and resolving issues promptly
recognize and escalate trends in claim submissions and deadlines to ensure prompt resolutions
Reporting hindrances in payment/adjudication from insurance companies to the AR Team Lead