Physician Revenue Management Services · 22 hours ago
Reimbursement Billing Specialist
Altoona, PA
Full-time
Hybrid
New Grad, Entry LevelPhysician Revenue Management Services is actively seeking a Reimbursement Specialist for their Altoona office. The role involves performing a variety of billing tasks while adhering to company standards and relevant guidelines.
BillingHealth CareMedical
Responsibilities
Charge entry of new claims into the billing system while identifying any issues with coding or payer edits as appropriate
Verify patients' insurance information utilizing various resources such as websites, telephone IVR's, and provider relation CSR's when applicable
Make telephone calls to patients, hospitals, insurance companies, and/or attorneys as needed to research claims or obtain insurance information
Contact insurance carriers to inquire about the status of past due accounts
Meet or exceed defined productivity standards
Document details of activity on each account in the claims processing system
Process primary and secondary paper claim to insurance carriers
Follow up on self-pay accounts. This includes contacting the patient by telephone to inquire about insurance coverage or to establish payment plans
Follow up on accounts that have reached collections to ensure they have been fully worked before the account is referred to an external collection agency
Work returned mail and bad address accounts as needed
Qualification
Required
High school diploma or equivalent
Knowledge of Medicare and Medicaid programs required
Prior experience with insurance billing required
Basic computer knowledge is essential
Proficient use of Internet Explorer and the ability to navigate various websites
Working knowledge of Microsoft Outlook and Word
Time management and the ability to multitask are essential
Must display sufficient written and oral communication skills
Must have the ability to work in a fast-paced environment
Must have the ability to work with minimal supervision
Customer service oriented
Preferred
Certification from a course in Medical Billing Preferred but not required
Prior experience with Medical Billing, ICD-9/ICD-10 Coding, and Medical Terminology preferred but not required
Company
Physician Revenue Management Services
Physician Revenue Management Services provides billing, collections, and revenue cycle management for healthcare providers.
Founded in 1999
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase