FEATURED PROJECT: Home Office Medical Collections Representative I/II
SALARY RANGE: $ Salaried positions. Salary DOE
HOURS: F/T hours only.
Are you looking for a new opportunity with an established, reputable, fast-growing organization? Do you want to work for a company that has innovative business strategies and makes a positive impact on society? We are focused on developing and commercializing evidence-driven diagnostic tests to improve physicians’ ability to optimize patient outcomes.
This position will perform collections, appeals and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) responsible for processing independent laboratory claims and Patient Billing. Qualified candidates must be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status. (3) Appeal, and re-bill or forward claims for recalculation and/or adjudication as necessary.
Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.
Investigate all denied services to determine the reason for the service denial, appeal, if appropriate.
Review and work various reports including aging, adjustments and credit balances.
Comply with Federal and State legislation pertaining to all billing related matters.
Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol and Standards.
Other duties assigned.
High School Diploma and a minimum of two years related administrative experience or a Bachelor’s degree from a four-year college or university; or equivalent combination of education and experience.
Working knowledge of appropriate coding systems; CPT, ICD-9 and HCPCS, coverage; lCD/NCD and reimbursement associated with such codes preferred. Training available.
Proficient in Microsoft Outlook, Excel, Word
Why you should work here:
We offer competitive compensation and benefits programs that include vacation and sick pay, extensive medical insurance coverage, flexible spending accounts, 401 (k) with company match, full telecommuting options and much more!
Career development opportunities and educational tuition reimbursement programs.
We are an Equal Opportunity Employer and we take pride in maintaining a diverse environment. Our policies are not to discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, marital or veteran status, disability, or any other legally protected status.
DO NOT CALL, Resume Portfolio / VA Websites will be reviewed online and applicants will be contacted directly. Must have VOT resume profile and website available for review
Submit the form below. Provide your email address and link to your VA website. Company will contact you through VOT or contact information on profile to arrange your telephone interview. Interviews are being scheduled now – apply now!