Medical Biller - Remote - Central Time Zone

Option Care Health•Topeka, KS

2d•Remote

About The Position

The Revenue Cycle Specialist is responsible for the timely and accurate submission of invoices to responsible payers for services and products provided, evaluating and applying payments to patient accounts, and following up with responsible parties to ensure prompt and accurate payment. The position also assists with billing and collection training and completes second-level appeals to payers. The employee must reside within the Central Time Zone area. The role requires understanding contract terms and fee schedules, checking authorizations and supporting documentation, processing payments and invoices, following up on claims and denials, and maintaining confidentiality and compliance with applicable policies and guidelines. The job description covers primary functions and responsibilities and is not an exhaustive list of duties.

Requirements

High school diploma or equivalent.
Six months of previous infusion reimbursement or intake/admissions experience.
Basic-level Microsoft Excel skills.
Basic-level Microsoft Word skills.
Must reside within the Central Time Zone area.

Responsibilities

Submit timely and accurate invoices to payers for products and services provided.
Understand contract terms and fee schedules for contracts related to submitted invoices.
Determine correct quantities and prices for billed drugs.
Verify that products and services are authorized, documented, ordered, and confirmed as provided.
Evaluate payments for correctness and accurately apply them to patient accounts according to the fee schedule.
Mail secondary bills and patient invoices within 48 hours of receiving payment.
Notify the Reimbursement Manager of 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 and timely payment, including verifying claim receipt and processing.
Send letters to patients or responsible parties when insurance carriers fail to pay within a reasonable timeframe.
Generate and mail statements and collection letters.
Follow up on all denials within 48 hours of receipt.
Ensure compliance with contract terms, fee schedules, company 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.