Medical Billing Specialist, Insurance Revenue Cycle

2 months ago

Scranton, United States Sherloq Solutions Full time
Job DescriptionJob Description

SHERLOQ Revenue is looking to hire a full-time Medical Billing Specialist, Insurance Revenue Cycle. Are you looking to work for a high-energy, fast-paced company that fosters a team environment? Do you want to work where you will be respected and valued for what you contribute? An organization with a long history in the community for over 100 years Well, you found it. Sherloq Revenue Solutions is looking to enhance our team with top performers who are knowledgeable in the Healthcare Revenue Cycle. We are seeking candidates with experience from healthcare providers or insurance payers that are looking to maximize their skills in the industry.

This position earns competitive pay, depending on experience. We value our employees and offer amazing benefits, including medical Insurance, a 401(k) plan, generous vacation and paid-time-off (PTO), eight paid holidays, and tuition reimbursement as well as life, dental, accidental death & disability, and supplemental insurance. Our plans are designed to be both valuable and affordable.
 If this sounds like the right opportunity in healthcare billing for you, apply today


ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Resolve healthcare claims through verbal or online inquiries to health insurance payers.
  • Effectively navigate and utilize various healthcare provider software systems.
  • Verify patient, insurance, billing and claim submission information for accuracy.
  • Eligibility inquiries and coordination of benefits research including reaching out to the patient when necessary.
  • Analyze payer denials and appropriately respond to secure claim reimbursement.
  • Provide information to the Billing & Appeals Specialists on claims that require written appeals.
  • Track trends in payer underpayments, coding issues and denials and report to leadership for escalation.
  • Recognize basic coding denials and request appropriate action for correction or dispute.
  • Check insurance payments for accuracy and compliance with contract discount.
  • Research missing payments and secure documents needed for posting.

SKILLS

  • Excellent verbal and written communication skills.
  • Accurately read and interpret insurance explanation of benefits.
  • Computer proficiency with Microsoft Word, Excel, Outlook and other office software applications is required.
  • Ability to problem solve and think critically to identify trends.
  • Work well with others and promote a team environment.
  • Utilize time management skills to manage daily tasks and meet production & quality metrics.

EDUCATIONAL REQUIREMENTS

  • A background in medical claims billing, insurance collections, coding, and/or denials management is desired.
  • Three (3) years of healthcare industry experience preferred.
  • High school diploma or equivalent required.
  • Obtain AAHAM Certified Revenue Cycle Specialist-Institutional accreditation within two years of employment. Other similar industry certifications accepted.

SHERLOQ is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Any applicant who, because of a disability, needs accommodation or assistance in completing an application or at any time during the application process should contact the Human Resources department. SHERLOQ also provides reasonable accommodations to employees with disabilities consistent with its obligations under the law.

Background and drug screen are required for employment.


READY TO JOIN OUR TEAM?

We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you would be right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you



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