Medical Biller - Remote - EST or CST Only

Option Care Health•Lansing, MI

3d•$20 - $22•Remote

About The Position

Responsible for timely and accurate submission of invoices to the responsible payer for services and products provided, evaluating payments and applying them to patient accounts, and following up with responsible parties to ensure timely and 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, including opening and editing workbooks, formatting cells, using copy and paste, saving, working with worksheets and charts, setting page layout, spell checking, and printing.
Basic Microsoft Word skills, including editing and formatting documents, sorting, inserting bullets and other items, using find and replace, spell checking, track changes, and printing.

Responsibilities

Submit timely, accurate invoices to payers for products and services provided.
Understand contract terms and fee schedules, determine correct quantities and prices for drugs billed, verify authorization and required documentation, and ensure billed services and products were properly ordered and confirmed as provided.
Evaluate payments for correctness and apply them accurately to the system and patient accounts according to the applicable fee schedule.
Ensure secondary bills and patient invoices are mailed 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, 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.
Comply with contract terms, fee schedules, company 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.