Revenue Cycle Medical Billing IDR Claim Status

Revenue Cycle Medical Billing - IDR Claim Status

Location: Remote or On-Site, United States

Hourly Compensation: $19

(this position is bonus eligible)

Work Schedule: Full-Time

The Revenue Cycle Medical Billing IDR Claim Status Specialist must have experience working with one or multiple payor sources, including Commercial and Blue Cross/ Blue Shield insurances. The successful candidate will have effective communication skills and an eagerness to verify the status of each claim after it has been submitted to insurance. All tasks must be performed in a timely and accurate manner in accordance with billing office practices, policies, and procedures.

Essential Functions/Duties

* Verifies the status of claims that have been billed to insurance on a timely basis according to the productivity guidelines for Claim Status goals.

* Makes claim inquiries via online portals, telephone, email, etc., and multitasks on accounts when on-hold over the phone.

* Meets daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals.

* Identifies, documents, and communicates trends in recurring rejections and denials to the supervisor.

* Recommends process improvements or system edits to eliminate future denials.

* Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.

* Documents all account activity in an accurate and timely manner for all touch points made on any patient account.

* Contacts patient for additional information when necessary to push the claim through for payment.

* Submits requested additional information/documentation at payor request for claims to process accordingly.

Education Requirements

* High school diploma or equivalent required

* Or, significant relevant work experience

Skills Requirements

* Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards.

* Understanding and interpretation of Explanation of Benefits (EOB) from payors

* Strong problem-solving skills, attention to detail, and ability to make timely decisions

* Excellent internal and external customer service skills

* Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision

Qualifications

Required Experience:

* Must be fluent in English

* Minimum of one (1) year of medical billing experience

* Professional written and verbal communication skills

* Knowledge and experience of computers and related technology

* Ability to work independently with little or no direction and as a member of a team

Preferred Experience:

* Minimum of one (1) year working in a call center environment

* Above average knowledge of insurance billing guidelines and policies

* Experience with Commercial Insurance processes and policies is a plus

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. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.

GMR's Core Behaviors-keep care at the center, raise your hand, seek to understand, find a way together and be accountable-unite our teams and set us apart in emergency medical services.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our benefit options.