TRC Talent Solutions · 1 day ago
Remote Medical Billing Specialist
United States
Full-time
Remote
Entry, Mid Level
$18/hr - $22/hr
1+ years expTRC Talent Solutions is seeking a Remote Medical Billing Specialist to assist healthcare providers with accounts receivable and revenue cycle management. The role involves resolving denied or underpaid claims by following up with payers and ensuring accurate documentation and communication throughout the process.
Management Consulting
Responsibilities
Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to:
Performing account follow-up activities on high-dollar accounts receivable
Research items requiring further assistance
Possesses an understanding of the healthcare revenue cycle and applies this knowledge to assist team with achievement of quality control standards
Demonstrates the ability to professionally communicate with colleagues, payers, and clients (if necessary)
Ensures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc
Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution to team and engagement leadership
Researches and documents any correspondence received related to assigned accounts
Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
Provide documentation appropriately and submit corrections; or if payer error, escalate for re-processing in a professional and timely manner
Identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed
Contacts third party payers and government agencies to resolve outstanding account balances
Maintains departmental productivity and quality standards
Must possess general PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm required
Ability to multitask in several applications and systems simultaneously and demonstrates competency with Microsoft Suite and assorted internet browsers required
Qualification
Required
Experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing
In-depth research and problem solving to get the resolution on claims
Perform second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables
Understanding of the healthcare revenue cycle
Ability to professionally communicate with colleagues, payers, and clients
Accurate and complete account follow-up demonstrating understanding of carrier-specific reimbursement
Identify and communicate A/R trends, payer behavior, workflow inconsistencies or other barriers to account resolution
Research and document any correspondence received related to assigned accounts
Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
Provide documentation appropriately and submit corrections; or escalate for re-processing in a professional and timely manner
Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
Contact third party payers and government agencies to resolve outstanding account balances
Maintain departmental productivity and quality standards
General PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm
Ability to multitask in several applications and systems simultaneously
Competency with Microsoft Suite and assorted internet browsers
A minimum of 1-2 years in Healthcare Provider Revenue Cycle experience
High School Diploma or equivalent
Hands-on experience using Epic, Cerner, Invision, Soarian, McKesson, Allscripts, Meditech, and other industry recognized Revenue Cycle Management Systems
Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billing
Preferred
Associate's or Bachelor's Degree
Benefits
Permanent position
Flex Schedule
Excellent Health, Dental, Vision, Life Packages
PTO, paid sick leave, paid holidays
Opportunity for career growth
Company
TRC Talent Solutions
TRC Talent Solutions is a full-service talent solutions provider with over 40 years of industry experience.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Geetha Krishnan
SVP, Chief Information Officer
Kennedi Hutchins
Talent Data Coordinator/HR Partner
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