Revenue Cycle Medical Billing Specialty Billing

Global Medical Response•West Plains, MO

About The Position

The Revenue Cycle Medical Billing Specialty Biller works within the Shared Services team to bill specialty transports and collect appropriate reimbursement. The position may be performed remotely or on-site in the United States and is scheduled Monday through Friday for 40 hours per week. Hourly compensation is $18, and the position is bonus eligible.

Requirements

  • Fluency in English.
  • At least 1 year of call center experience.
  • At least 1 year of medical billing experience.
  • Experience reading and interpreting EOBs.
  • Proficiency in Microsoft Office, including Outlook, Word, and Excel.
  • Intermediate-level knowledge and experience with computers and related technology.

Nice To Haves

  • Experience billing air ambulance transports.
  • Experience with a wide variety of payors, including Medicare, Medicaid, Veterans Affairs, and commercial payors.
  • Experience with the Respond Billing / Sweet billing system.
  • Experience with Payor Logic software.
  • High school diploma, GED, or significant relevant work experience.

Responsibilities

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