Medical Billing Representative
2 weeks ago
Description:
PURPOSE AND SCOPE: The Patient Account Representative - Billing provides administrative support to the daily operations within the assigned function(s). The incumbent generates and analyzes diverse reports and work lists in the identification, research and resolution of routine claim data errors and issues. The Patient Account Representative - Billing supports the assigned function(s) by performing daily billing, adjustment and correspondence activities in compliance with company policies and procedures. PRINCIPAL DUTIES AND RESPONSIBILITIES: Generate and analyze reports and work lists in the identification and resolution of routine errors and issues, including but not limited to: bills, claims and payments. May assist in the preparation of routine reports. Assist with various projects as assigned by direct supervisor. Perform all responsibilities in compliance with company policies and procedures. Other duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Occasionally lift and/or move up to 50 pounds. EDUCATION: High School Diploma required EXPERIENCE AND REQUIRED SKILLS: Great computer skills with demonstrated proficiency in word processing, spreadsheet and email applications. Working knowledge of insurance regulations, including but not limited to: commercial insurance, Medicaid, Medicare and managed care plans desirable. Detail oriented with great analytical and organizational skills. Good interpersonal skills with the ability to work cohesively within a team environment. Possess a positive, enthusiastic and energetic attitude. Excellent oral and written communication skills to effectively communicate with all levels of management.
Skills:
medical, insurance, claims, billing, collections, AR, medicaid, medicare, cash applications, payment posting
Top Skills Details:
medical, insurance, claims, billing, collections, AR, medicaid, medicare, cash applications, payment posting
Additional Skills & Qualifications:
medical billing medical collections MIBC accounts recievable
*** All candidates must take an internet speed test and it must be attached as submitted. (speedtest.net) ***
Candidates must have 2-4 years of prior Revenue Cycle experience. Ideal candidate will have 4 years or more of experience with claim edits, claim rejections, working with a clearing house, etc. Must be able to read EOBs, understand the difference between different denials, and medical coding. This role is highly analytical and can require lots of research. Experience utilizing Athena or Acumen EPIC systems highly preferred. Must have experience with Medicare / Medicaid collection. Need to have solid A/R Revenue Cycle experience. If candidate has experience only taking self-pay calls, or collecting directly from patient they will not be a good fit for this role. Must have experience with Commercial and gov't insurance, following up on claims, working through payor portals ,etc. Experience with medical billing would be a bonus and help tremendously with the role. Fully remote, but if candidates are local to Plano, TX they will likely be asked to come into the office to assist with paper claims if needed (once a month or so).
Experience Level:
Expert Level
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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