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Posted

Medical Billing Follow Up Specialist

Covalent Health

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Full-TimeAll Other RemoteUSA Only
Job Summary:

Performs day-to-day billing/follow-up activities required to get final resolution and collect on outstanding accounts receivables (AR) from patients and insurances.

Essential Duties and Responsibilities:

  • Processes billing/follow-up functions to increase cash collections and decrease AR (i.e., checks claim status, responds to additional documentation requests, confirms insurance eligibility, updates patient demographics, authorizations, payer, and ICD-10 coding).
  • Identifies claims processing issues and works through them for claims resolution.
  • Expedites and maximizes payment of claims by contacting and following-up with communications to and from payers and patients via phone, online portals, email, fax, and mail.
  • Performs claim negotiations and appeals.
  • Processes denials and works down AR.
  • Utilizes all available resources (i.e., explanation of benefits, payer/vendor websites), to ensure claims are adjudicated correctly.
  • Updates billing system to ensure that follow-up actions are properly documented.
  • Completes detailed forms and reports accurately.
  • Meets daily/monthly department goals.  
  • Manages changes in priorities based on business need.
  • Ensures compliance with State and Federal guidelines.
  • Possesses knowledge of payer specific guidelines.
  • Performs additional duties as assigned.

Minimum Qualifications and Requirements:

  • High school graduate (or GED)
  • Two years’ experience in EMS and/or Ambulance Revenue Cycle follow up processes required.
  • Experience working with Medicare, Medicaid and Commercial Insurances preferred.
  • Must be able to read, write and speak English.
  • Excellent documentation skills.
  • Outstanding interpersonal and communication skills.
  • Must portray a positive company image.
  • Must be computer literate (i.e., experience working with Excel, Word, etc.).
  • Ability to work with minimal supervision, following guidelines and company policy.
  • Collect, interpret, and/or analyze complex data and information.
  • Regular attendance and timeliness.
  • Good multi-tasking and critical thinking skills.

Physical Requirements:

  • Must be able to sit for an extended period.
  • Frequent repetitive hand movements, standing, walking, reaching, and grasping.
  • Must be able to hear and communicate clearly to perform job duties in person and remotely.
  • Adequate vision required to be able to read information from printed sources and computer screens.
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