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Connect America

Empowering aging and vulnerable populations to age gracefully at home with AI-enabled digital health and safety platform

Medical Billing Specialist

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteMid LevelTeam 501-1,000Since 2004H1B SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

8 days ago

Salary

$17 - $20 / hour

Seniority

Mid Level

Associate Degree2 yrs expEnglish

Job Description

Medical Billing Specialist

Connect America

• Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. • Obtaining and entering Medicaid authorizations accurately and timely to ensure clean claims are released • Reviewing claims for the accuracy of procedures, diagnoses, demographic and insurance information • Obtaining and entering equipment upgrades and correspondence from the payer agencies • Reviewing and correcting all claims/charge denials and edits that are communicated via Explanation of Benefits (EOB) and other methods of communication • Monitoring days in Accounts Receivable and ensuring that they are maintained at the levels expected by management • Communicating proactively of any billing issues identified • Timely follow-up on billing and claims discrepancies as communicated by the payer. • Reading and interpreting insurance Explanation of Benefits • Responding to inquiries from agencies, case managers, insurance companies, and internal customers in a timely manner • Regularly attending monthly staff meetings and in-house training events • Additional duties and responsibilities as required and or assigned.

Job Requirements

  • Associates Degree in Medical Billing and Coding or Accounting, preferred
  • 2+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement
  • Familiarity with CPT and ICD-10 coding and medical terminology
  • Strong technical with Excel, software, including, but not limited to: Billing Software, MS Office, and Insurance Portals
  • High aptitude to learn new programs, system integrations, and business processes
  • Excellent customer service skills with strong written and verbal communication skills.
  • Ability to manage relationships with various insurance payers and agencies
  • Strong work ethic with proven track record of accuracy, dependability and consistency
  • Must be able to think independently, multitask, have strong problem solving skills, and have a continuous improvement mentality.
  • Ability to gain the cooperation of others in pursuit of company goals

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