Remote Medical Billing Specialist
Company Description : Claris Vision was formed in 2011, bringing together some of New England’s top eye care practices to provide the most comprehensive spectrum of vision care services available in the region. Claris Vision’s team of over 45 leading physicians are dedicated to providing the best clinical care, utilizing leading technology, and ensuring an individualized experience and high-quality care plan for each patient Job Description: The Remote BIlling Specialist will have strong attention to detail and analytical skills. The successful candidate will have a strong working knowledge of revenue cycle management and have a proven track record working in a healthcare practice environment in accounts receivable. Responsibilities:
- Ensure that patients and insurance companies are properly billed for all services, and that payments are received and processed in a timely manner.
- Analyze excel spreadsheets and raw data.
- Denial management process
- Telephone insurance carrier/patient to seek resolution on accounts.
- Resolve inappropriate payments with insurance carriers that are not in compliance with payer contracts or governmental agency rates on individual accounts.
- Utilize specialized knowledge of contracts, regulatory or contractual billings guidelines to determine an account’s ability to pay after initial rejection from the payer.
- Coordinate duplicate billings, coordination of benefits, medical records or clinical documents as needed to expedite payment of insurance claims.
- Identify trends in payer non-compliance and inform management if not able to resolve with payer.
- Negotiate within specified guidelines with payers.
- Ensure secondary carrier is appropriately billed or self-pay portion is pursued.
- Follow up with appropriate staff to locate missing information.
- Ensure accurate and timely billing of all outstanding account balances to the appropriate third-party payers and patient guarantors.
- Maintain necessary logs
- Participate in departmental meetings as necessary.
Requirements
- 1-3 years of accounts receivable experience working in a medical practice/healthcare field.
- 1 year experience leading a team.
- 1 year experience with denial management
- Excellent attention to detail, customer service skills, and confidentiality
- Proficiency in Microsoft Applications
- Excellent written and verbal skills
- Ability to develop/implement team ideas and projects both independently and with others
- Ability to work in a fast-paced environment.
- Must possess the physical, mental, and cognitive skills needed to complete essential tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for comprehension, problem-solving, and timely decision-making
Our full-time employment package offers:
- Medical, dental, and vision insurance begins first day of the month following date of hire
- FSA and HSA
- Paid long-term disability (LTD)
- Paid LIFE and AD&D insurance
- Paid Time Off (PTO) and holidays
- 401k Plan
- Career Growth and Leadership Development
We are committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of our clinical groups will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation, and gender identity and/or expression, other dimensions of diversity or common human decency. We value diversity in thought and culture and welcome highly skilled, capable, competent, collegial members to our team. Job Type: Full-time Pay: $19.00 - $23.00 per hour Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
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