Medical Biller - Remote - EST or CST Only

Option Care Health•Nashville, TN

1d•Remote

About The Position

The RCM / Collections Specialist / Medical Biller is responsible for timely, accurate invoicing to payers for services and products provided, evaluating and applying payments to patient accounts, and following up with responsible parties to secure timely, accurate payments. The role also assists with billing and collection training and completes second-level payer appeals. Applicants must currently reside in the Eastern Time Zone to be considered. The posting lists a starting target pay range of $20–$22 per hour; actual salary is determined by education, experience, knowledge, skills, abilities, internal equity, and market data.

Requirements

High school diploma or equivalent.
0–6 months of previous infusion reimbursement or intake/admissions experience.
Basic-level Microsoft Excel skills.
Basic-level Microsoft Word skills.
Must currently reside in the Eastern Time Zone.

Responsibilities

Submit timely, accurate invoices to payers for products and services provided.
Understand the terms and fee schedules for contracts related to submitted invoices.
Determine quantities and prices correctly for billed drugs.
Verify that services and products are authorized and required documentation is on file.
Ensure invoices are submitted only for services and products properly ordered and confirmed as provided.
Evaluate received payments, verify them against fee schedules, and apply them accurately to patient accounts.
Mail secondary bills and patient invoices within 48 hours after payment is received.
Notify the Reimbursement Manager of overpayments or duplicate payments for the same service.
Transfer payments belonging to other offices within 48 hours of receipt.
Follow up on submitted invoices to support prompt payment, including calling to verify claims were received and are being processed.
Send letters to patients or responsible parties when an insurance carrier does not pay within a reasonable time frame.
Generate and mail statements and collection letters.
Follow up on all denials within 48 hours of receipt.
Ensure compliance with contract terms, fee schedules, policies, and guidelines.
Follow HIPAA guidelines when accessing and sharing patient information to maintain patient and business confidentiality.
Assist with billing and collection training and complete second-level payer appeals.