Medical Biller - Remote - EST or CST Only

Option Care Health•Lansing, MI

1d•Remote

About The Position

Responsible for the timely and accurate submission of invoices to responsible payers for services and products provided, evaluating and applying payments to patient accounts, and following up with responsible parties to ensure timely, accurate payment. The role also assists with billing and collection training and completes second-level appeals to payers. Applicants must currently reside in the Eastern Time Zone to be considered. The starting target pay range is $20–$22 per hour.

Requirements

High school diploma or equivalent.
0–6 months of previous infusion reimbursement or intake/admissions experience.
Basic Microsoft Excel skills.
Basic 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 contract terms and fee schedules applicable to submitted invoices.
Determine the correct quantities and prices for billed drugs.
Verify that services and products are properly authorized and required documentation is on file.
Ensure invoices cover services and products that were properly ordered and confirmed as provided.
Evaluate received payments for correctness and apply them accurately to the system and patient account.
Verify payments against the applicable 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 and timely payment.
Call to verify that submitted claims were received and are being processed.
Send letters to patients or responsible parties when their 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 protect patient and business confidentiality.
Assist with billing and collection training and complete second-level payer appeals.