Hospital Medical Billing - Remote | WFH

Job Purpose
As a Collections Representative, you will play a pivotal role in ensuring timely collections, efficient account follow-up, and accurate billing allowance posting for the accounts entrusted to you...
Duties And Responsibilities
Utilize various workflow systems such as STAR, SMS, EAGLE, and EPIC, alongside other available tools, to effectively collect payments and resolve accounts.
Demonstrate a proficient understanding of the insurance follow-up process and possess knowledge of fundamental concepts in healthcare reimbursement methodologies.
Navigate government, Medicare, and Medicaid claims with ease.
Conduct thorough follow-ups with payers via phone, email, fax, or online platforms to ensure prompt resolution of outstanding claims.
Maintain accurate patient and financial information, verifying details pertaining to responsible parties for bill payment.
Monitor billing accuracy, promptly updating any erroneous entries.
Ensure timely billing of all hospital services to primary insurers or patients.
Adhere to established timelines for follow-ups with insurance companies on assigned accounts.
Provide clear explanations of hospital regulations related to payment methods and possess comprehensive knowledge of insurance regulations and hospital insurance contracts.
Identify and report underpayments and denial trends, initiating appeals when necessary.
Possess a foundational understanding of healthcare claims processing, including ICD-9/10, CPT, and HCPC codes, as well as UB-04 forms.
Proficiency in Excel for data analysis and effective communication of results.
Maintain daily productivity and quality standards as per departmental policies.
Interact professionally and courteously with patients, insurance payors, colleagues, management, and clients.
Undertake special projects and additional duties as directed by management.
Uphold confidentiality standards at all times, particularly regarding patients' protected health information (PHI) in accordance with HIPAA regulations.
Qualifications
Previous experience in Hospital/Facility billing is required.
2-3 years of experience in insurance collections, including claim submission and follow-up.
Ability to thrive both independently and within a team environment.
Proficiency in Microsoft Office, particularly Excel and Word.
Strong organizational, communication, and written skills.
Basic math and typing proficiency.
High School Diploma.
Medical Billing and Coding certification preferred, though not mandatory.
Note: This is a remote position, offering flexibility and opportunities for professional growth.
We look forward to welcoming a dedicated individual to our team who shares our commitment to excellence in healthcare billing and collections.
Employment Type: Full-Time

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