Revenue Cycle Medical Billing IDR Claim Status Representative

Global Medical Response • West Plains, MO

4d • $19 • Remote

About The Position

Revenue Cycle Medical Billing - IDR Claim Status Representative Location: Remote or On-Site Hourly Pay: $19 (this position is bonus eligible) Work Schedule: Full-Time The Revenue Cycle Medical Billing IDR Claim Status Representative must have experience working with one or multiple payor sources, such as Commercial and Blue Cross/ Blue Shield insurances. The successful candidate will have effective communication skills.

Requirements

• Must be fluent in English
• Minimum of one (1) year of medical billing experience
• Professional written and verbal communication skills
• Knowledge and experience of computers and related technology
• Ability to work independently with little or no direction and as a member of a team

Nice To Haves

• Minimum of one (1) year working in a call center environment
• Above average knowledge of health care billing procedures, reimbursements, and third-party payor standards.
• Understanding and interpretation of Explanation of Benefits (EOB) from payors
• Experience with Commercial Insurance processes and policies is a plus
• High School Diploma, GED, or significant relevant work experience

Responsibilities

• Verifies the status of claims that have been billed to insurance on a timely basis according to productivity guidelines.
• Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.
• Meets daily and monthly departmental production goals set forth by the Supervisor to ensure that the company is achieving its financial goals.
• Identifies, documents, and communicates trends in recurring rejections and denials to Supervisor.
• Recommends process improvements or system edits to eliminate future denials.
• Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.
• Documents all account activity in an accurate and timely manner for all touches made on any patient account.
• Contacts patients for additional information when necessary to push the claim through for payment.
• Submits requested additional information/documentation at payor request for claims to process accordingly.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees