Medical Biller - Remote - PST or MST Only

Option Care Health•Boise, ID

1d•Remote

About The Position

Responsible for the timely and accurate submission of invoices to responsible payers for services and products provided. Evaluates payments and applies them to patient accounts, follows up with responsible parties to ensure timely and accurate payment, assists with billing and collection training, and completes second-level payer appeals. Applicants must currently reside in the Mountain or Pacific Time Zone.

Requirements

High school diploma or equivalent.
0–6 months of previous infusion reimbursement or intake/admissions experience.
Basic Microsoft Excel skills, including working with workbooks, formatting cells, copying and pasting, managing worksheets and columns, charts, page setup, spell check, and printing.
Basic Microsoft Word skills, including editing and formatting documents, working with margins and columns, sorting, inserting bullets and other items, find and replace, track changes, spell check, 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 the correct quantities and prices for billed drugs.
Verify that services and products are authorized and that required documentation is on file.
Ensure invoices cover services and products properly ordered and confirmed as provided.
Evaluate payments for correctness and accurately apply them to the system and patient accounts.
Verify payments against the applicable fee schedule.
Mail secondary bills and patient invoices within 48 hours of receiving payment.
Notify the Reimbursement Manager about 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 contacting payers to confirm 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 denials within 48 hours of receipt.
Ensure compliance with contract terms, fee schedules, and applicable 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.