Medical Biller - Remote - PST or MST Only

Option Care Health•Phoenix, AZ

1d•Remote

About The Position

Responsible for timely, accurate submission of invoices to payers for services and products provided, evaluating payments and applying them to patient accounts, and following up with responsible parties to ensure prompt and accurate payment. The role also assists with billing and collection training and completes second-level payer appeals. Applicants must currently reside in the Mountain or Pacific Time Zone to be considered. This job description covers primary functions and responsibilities and is not an exhaustive list of duties.

Requirements

High school diploma or equivalent.
0–6 months of previous infusion reimbursement or intake/admissions experience.
Basic Microsoft Excel skills, including opening and editing workbooks, formatting cells, using copy and paste, saving, inserting rows or columns and worksheets, working with charts, setting page layout, using spell check, and printing worksheets.
Basic Microsoft Word skills, including opening and editing documents, formatting and aligning text, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane, and printing.
Must currently reside in the Mountain or Pacific Time Zone.

Responsibilities

Submit timely, accurate invoices to payers for products and services provided.
Understand the terms and fee schedules for contracts associated with submitted invoices.
Determine quantities and prices for billed drugs correctly.
Verify that services and products are authorized, required documentation is on file, and invoices reflect services and products properly ordered and confirmed as provided.
Evaluate payments for correctness and accurately apply them to the system and patient account according to the fee schedule.
Mail secondary bills and patient invoices within 48 hours of receiving payment.
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 insurers fail to 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, and related 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 appeals to payers.