Medical Billing/AR Follow up - Remote | WFH

We are a leading third-party hospital billing company seeking a dedicated Medical Biller to join our Accounts Receivable (AR) Follow-Up department. This role focuses on supporting hospital and facility billing, UB-04 claims processing, and ensuring timely resolution of outstanding accounts receivable.

Responsibilities

Provide essential support to AR representatives, offering guidance and assistance to ensure their ongoing success.

Conduct initial training sessions on our client host system for new team members.

Assist AR follow-up representatives in researching A/R related projects and issues.

Track productivity and quality metrics of AR representatives, providing constructive feedback and identifying areas for improvement.

Communicate with payers via phone, email, fax, and websites to follow up on outstanding claims and resolve issues promptly.

Maintain daily productivity and quality standards set by department policies, supporting ongoing training needs.

Utilize workflow systems, client host systems, and other tools to collect payments and resolve accounts efficiently.

Adhere strictly to established policies and procedures for our clients and internal team.

Ensure compliance with timely filing deadlines for designated payers and initiate appeals when necessary.

Identify and correct medical billing errors, ensuring accurate and timely claim submissions.

Analyze and resolve issues causing payment delays, proactively identifying trends to minimize claim denials.

Manage underpayments and credit balance processes effectively.

Collaborate on special projects, leveraging Excel and other tools to communicate results effectively.

Demonstrate professionalism and courtesy when interacting with patients, visitors, coworkers, management, and clients.

Handle protected health information (PHI) in strict accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Qualifications

Proven experience in insurance collections, including submitting and following up on claims within a medical practice, medical facility, ambulatory surgical center, or hospital setting.

Strong familiarity with UB-04 claims processing and experience using client host systems.

Ability to train new users effectively on systems and procedures.

Knowledge of the denied claims and appeals process, with expertise in navigating individual payer websites such as Navinet and Novitasphere.

Proficiency in medical terminology, CPT codes, modifiers, and diagnosis codes.

Effective team player with excellent communication skills, both oral and written.

Proficiency in MS Office, particularly Excel, for data analysis and reporting.

Experience with practice management systems such as EPIC PB, Allscripts, and/or Cerner is preferred.

Strong organizational skills and the ability to work independently and collaboratively in a team environment.

Join our dynamic team where your skills and dedication will contribute to our mission of delivering exceptional billing services in healthcare.

Employment Type: Full-Time