Revenue Cycle Medical Billing Specialty Billing

Global Medical Response•West Plains, MO

4d•Hybrid

About The Position

The Revenue Cycle Medical Billing Specialty Biller works within the Shared Services team to bill specialty transports and collect appropriate reimbursement. This role involves verifying eligibility and benefits, preparing and filing claims, following up on claim processing, reviewing Explanation of Benefits (EOBs) for correct reimbursement, appealing denied or incorrectly paid claims, processing incoming correspondence, and maintaining quality and productivity metrics.

Requirements

Must be fluent in English
Minimum 1 year of call center experience
Minimum 1 year of medical billing experience
Experience reading and interpreting EOB’s
Proficient in Microsoft Office, including Outlook, Word, and Excel
Knowledge and experience of computers and related technology, at an intermediate level

Nice To Haves

Experience billing air ambulance transports
Experience with a wide variety of payors preferred, including Medicare, Medicaid, Veterans Affairs, and Commercial payors
Experience with Respond Billing / Sweet billing system
Experience with Payor Logic software

Responsibilities

Verify eligibility and benefits via payor portals and/or phone calls.
Prep and file claims according to payor requirements.
Follow-up on claims to ensure timely processing.
Review Explanation of Benefits (EOBs) to verify appropriate reimbursement issued.
Appeal denied or incorrectly paid claims for appropriate reimbursement.
Process incoming correspondence from payors, patients, and facilities.
Maintain quality and productivity metrics based on department goals.