Medical Billing - Revenue Cycle - Claim Status EOB Review - Remote or On-Site

Medical Billing-Revenue Cycle - Claim Status EOB Review

Remote or On-Site

Starting Pay $17.50

Job Summary

The Claim Status EOB Review position is responsible for timely follow up of payments and denials on claims filed to Medicare Part B and Medicare Advantage/Replacement Plans along with accurate documentation of the actions taken. This role requires someone who has strong communication skills and is able to professionally drive claims to resolution. This position will also require the individual to be compassionate when working with the patients.

Essential Functions/Duties

• Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals

• Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals

• Review and analyze claim denials in order to determine if an appeal is necessary for reimbursement

• Identify, document and communicate trends in recurring denials. Recommend process improvements or system edits to eliminate future denials

• Review system generated work list and aged reports to resolve accounts which have not been paid in the appropriate time frame, based on payer contracts and guidelines

• Review payment denials and discrepancies identified through explanation of benefits, remittance advices or payor correspondence and take appropriate action to correct these accounts

• Document all account activity in an accurate and timely manner for all touches made on any patient account

• Other duties as assigned

Qualifications:

Required Experience

• Must be fluent in English

• Full-time experience (minimum of 1 year) in a position with direct responsibility for delivery of patient accounting services and healthcare billing and follow-up services

• Minimum of 50 words per minute (typing)

• Minimum of 6 months medical billing experience

• Ability to work independently or as an active member of a team

• Communicate clearly and concisely, both orally and in writing

• Must possess empathic and professional written and verbal communication skills

• Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience

• Minimum of 6 months of work in a call center environment

• Minimum of 6 months of customer service experience

Education

• High school diploma or equivalent

Skills:

• Ability to calculate numbers, correct entries, and post to records

• Ability to gather data, compile information, and prepare reports

• Ability to use independent judgment and to manage and impart confidential information

• Ability to prepare routine administrative work

• Records maintenance skills

• Knowledge of health care billing compliance regulations (basic)

• Knowledge and understanding of payor Explanation of Benefits (basic)

• Excellent internal and external customer service skills

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 .. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers .

EEO Statement

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. Notice of Nondiscrimination: https://www.globalmedicalresponse.com/docs/site/non-discrimination