Revenue Cycle Medical Billing Claim Status Medicaid EOB Review

Global Medical Response•West Plains, MO

2d•Hybrid

About The Position

The Revenue Cycle Medical Billing - Claim Status Medicaid EOB Review position is responsible for timely follow-up of payments and denials on claims filed to traditional Medicaid and Medicaid Managed Care plans, along with accurate documentation of the actions taken.

Requirements

Must be fluent in English
Minimum of 1 year, full-time, medical billing experience
Minimum of 50 words per minute (typing)
Ability to work independently or as an active member of a team
Communicate clearly and concisely, both orally and in writing
Must possess empathic and professional written and verbal communication skills
Knowledge and experience of computers and related technology, at an intermediate level
Ability to use independent judgment and to manage and impart confidential information

Nice To Haves

Minimum of 6 months of work in a call center environment
Minimum of 6 months of customer service experience
Ability to calculate numbers, correct entries, and post to records

Responsibilities

Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals.
Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals.
Review and analyze claim denials to determine if an appeal is necessary for reimbursement.
Identify, document, and communicate trends in recurring denials.
Recommend process improvements or system edits to eliminate future denials.
Review system generated work list and aged reports to resolve accounts which have not been paid.
Review payment denials and discrepancies identified through explanation of benefits, remittance advices, or payor correspondence and take appropriate action.
Document all account activity in an accurate and timely manner.