Medical Billing Specialist (2956382)

Hi,

Greetings from ObjectWin!

This is Elizabeth with ObjectWin. We have an immediate need for the following requirement. Kindly go through the following job details and If you are interested revert me back with your updated resume or call me back at (832)476-7556

Client : UT Southwestern Medical Center

Pay Rate : $25 / hr. on W2

Title : Medical Billing Specialist (2956382)

Location : Weatherford, TX 76086 (Remote) - Must reside in TX

Type : 06 Months Contract (26 Weeks)

Shift time : Day; 5x8-Hour (08 : 00 - 17 : 00)

Description :

Remote : Must reside in TX

Desired candidate qualities :

At least five years of hospital (preferably) or facility medical billing experience.

Not a patient collections role : Focus is on insurance medical billing collections, not collecting copays / outstanding patient balances .

Responsibilities include calling insurances, submitting appeals, finding authorizations, etc.

Experience required with :

• Medicare, Medicaid, managed Medicare payers (e.g., Humana, UnitedHealth, WellPoint)
• Preparing appeals, handling authorizations
• Denial code understanding
• Epic experience mandatory.

MINIMUM QUALIFICATIONS :

EDUCATION / EXPERIENCE :

High School Diploma, Bachelors preferred. Minimum 5 years hospital billing experience.

SUMMARY :

Position will provide support to patients with financial resources and assistance.

ESSENTIAL FUNCTIONS :

1. Analyze payer underpayments, variances, and denials. Escalate trends, make comprehensive suggestions, and file professional appeals according to our contractual agreements and policy. This includes timely processing of allocated volume of accounts, based on established production guidelines and time parameters provided for workflow.

2. Responsible for outbound calls and / or status inquiries via payers website validating receipt of medical claims and adjudication status within established timeframes. Display competent ability to access, navigate, and manage account information through phone calls and payer websites. Documents all work and calls performed, in accordance to policy. This includes complete contact information, good grammar, and expected outcomes.

3. Display competency and ability to work within client based, research, and special arrangements. This includes, but is not limited to : calculating the physician and hospital share and working with MSP to transfer the physician's share to that department, working with other departments at to properly invoice clients and bill claims for proper adjudication per our agreements.

4. Maintain up-to-date knowledgeable on all payer types and effectively work on special projects for specific initiatives for account resolution projects. Demonstrate confidence and sound decision making for processing through large volumes of denials, complex accounts, or contractual reviews, as identified from strategic leadership requirements.

5. Make necessary adjustments as required by plan reimbursement.

6. Function as a departmental liaison for billing and collections support for internal and external customers, as required.

7. Duties performed may include one or more of the following core functions : a) Directly interacting with or caring for patients; b) Directly interacting with or caring for human-subjects research participants; c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.

8. Performs other duties as assigned.

MINIMUM QUALIFICATIONS :

EDUCATION / EXPERIENCE :

KNOWLEDGE, SKILLS, & ABILITIES :

Thanks & Regards,

Elizabeth R

Recruiter

Object Win Technology, Inc.

Phone : (832) 476-7556 | Email : elizabeth.r@objectwin.com

Global Workforce Solutions | Contingent Staffing | SOW Services | IT Consulting | Certified HUB & MBE Company

19219 Katy Freeway, Suite 275, Houston, TX 77094 | Fax : (713) 782-8283

www.objectwin.com