Medical Accounts Receivable – Remote
Full Time
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NCMS Accounts Receivable Medical Billing Representatives is responsible for submitting and following filing procedures for each carrier. The Accounts Receivable Medical Billing Representatives work within the scope of responsibilities as dictated below with guidance and support from Billing Specialist Lead(s), Supervisor(s), and Director of Billing and Insurance.
Essential Functions
- Take patient and insurance calls and provide accurate, satisfactory answers to their queries and concerns
- De-escalate situations involving dissatisfied patients, offering patient assistance and support
- Call patients and insurance companies to inform them about the claims and billing
- Review patients accounts, providing updates and information about billing, shipping, and other account items.
- Collect payment from patients and accurately record it into the system
- Update patients accounts based on payment or contact information
- Submit patient claims to insurance carriers, following filing procedures for each carrier
- Responsible for accounts receivables, billing charges, payment postings and collections
- Remittance Posting: Manually posts Medicare payments received electronically into corresponding transactions.
- Processes and corrects eligibility reports and change recalls to ensure only active Medicare patients receive supplies.
- Ensures and verifies all auto post from EDI 835 Medicare transmittal and other remittance postings are complete, accurate, and timely.
- Provides follow-up support for all aged, transmitted Medicare claims aged more than 30 days.
- Claims Processing – Investigates claims from Medicare; properly resolves by follow-up and disposition.
- Processes Medicare denials and rejections for re-submission (if possible) in accordance with company policy, regulations, and third-party regulations.
- Updates patient files for insurance information, Medicare status, and other changes as necessary or required.
- Accurately conveys information regarding billing/denials trends which will aide individual departments requiring billing.
- Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
- Maintains accurate and detailed notes in the company system.
- Meets patient service quality standards.
- Embraces and exemplifies ADS core values:
- We grow together
- We care
- We obsess over the customer experience
- We commit
- We WOW!
- May perform any additional responsibilities or special projects as required.
- High School diploma or GED required
- 1-2 year(s) administrative experience preferred
- 1–2-year(s) billing experience preferred
- Excellent Customer service skills, including phone and interpersonal skills
- Computer proficiency in MS Word, Excel, and Outlook preferred
- Typing accuracy of 30 wpm minimum
- Database data entry experience preferred
- Clear diction and knowledge of the English language, both written and verbal
- Work history of excellent attendance and punctuality
- High comfort level working with culturally diverse team members and clients
- Solid mathematical skills, including addition, subtraction, multiplication, and division
- Knowledge of medical terminology preferred knowledge of orthotics and diabetes a plus
- Some experience with medical insurance and/or DME a plus
Compensation Package
Salary ranges may vary depending on location. The general hiring range for this position is $15.50 – $18.00. Actual compensation depends on education, experience and relevant skills. In addition, benefits include:
- Health, Dental & Vision options
- FSA and HSA plan with Employer Contribution
- Employer paid EAP
- 401k with 4% Company Match
- Discretionary Profit Sharing Plan
- Paid Time Off (PTO) Including 8 Paid Holidays and a Birthday Holiday
- In-house Training Programs
- A fun culture in a fast-growing organization!
PI207328193
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