MEDICAL BILLING - REVENUE CYCLE - CLAIM STATUS EOB REVIEW - REMOTE OR ON-SITE - LOCATED IN WEST PLAINS, MO
Located in West Plains, MO
More Information about this Job :
Medical Billing-Revenue Cycle - Claim Status EOB Review
Remote or On-Site
Starting Pay $17.50
Job Summary
The Claim Status EOB Review position is responsible for timely follow up of payments and denials on claims filed to Medicare Part B and Medicare Advantage / Replacement Plans along with accurate documentation of the actions taken.
This role requires someone who has strong communication skills and is able to professionally drive claims to resolution.
This position will also require the individual to be compassionate when working with the patients.
Essential Functions / Duties
Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals
Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals
Review and analyze claim denials in order to determine if an appeal is necessary for reimbursement
Identify, document and communicate trends in recurring denials. Recommend process improvements or system edits to eliminate future denials
Review system generated work list and aged reports to resolve accounts which have not been paid in the appropriate time frame, based on payer contracts and guidelines
Review payment denials and discrepancies identified through explanation of benefits, remittance advices or payor correspondence and take appropriate action to correct these accounts
Document all account activity in an accurate and timely manner for all touches made on any patient account
Other duties as assigned
Qualifications : Required Experience
Required Experience
Must be fluent in English
Full-time experience (minimum of 1 year) in a position with direct responsibility for delivery of patient accounting services and healthcare billing and follow-up services
Minimum of 50 words per minute (typing)
Minimum of 6 months medical billing experience
Ability to work independently or as an active member of a team
Communicate clearly and concisely, both orally and in writing
Must possess empathic and professional written and verbal communication skills
Knowledge and experience of computers and related technology, at an intermediate level
Preferred Experience
Minimum of 6 months of work in a call center environment
Minimum of 6 months of customer service experience
Education
High school diploma or equivalent
Skills :
Ability to calculate numbers, correct entries, and post to records
Ability to gather data, compile information, and prepare reports
Ability to use independent judgment and to manage and impart confidential information
Ability to prepare routine administrative work
Records maintenance skills
Knowledge of health care billing compliance regulations (basic)
Knowledge and understanding of payor Explanation of Benefits (basic)
Excellent internal and external customer service skills
Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions.
Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services.
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