Medical Billing
Found in: Resume Library US A2 - 2 weeks ago
IMMEDIATE OPENING
Medical Billing-Revenue Cycle – Appeal Specialist
The Appeal Specialist supports the functions of the Revenue Cycle Appeal team by assisting in the review of denied and underpaid claims for the formal appeal and dispute process with the payor. Responsibilities include, but are not limited to: Classification of appeals, research of accounts, preparing documents, obtaining appeal status, and review of appeal determinations.
Essential Functions/Duties
Review Explanation of Benefits, denial letters and payor correspondence to classify type of appeal required.
Gather, prepare, and review documentation & various forms needed to submit appeals correctly per payor guidelines.
Engage patients via phone and/or mail to obtain requested information pertaining to the appeal process.
Document the details, requirements, and deadlines of each individual appeal in billing software.
Use reports to manage daily workflow and ensure accounts are processed within required timeframes.
Timely and regular follow-up with payors regarding status of appeals.
Ability to identify payor issues within the appeal process and discuss potential improvements and workflow solutions with leadership.
Additional duties as assigned.
Education:
High School diploma or equivalent
Skills:
Knowledge of health care billing procedures, reimbursement, third party payer regulations, documentation, and standards. Knowledge of Blue Cross Blue Shield payors is a plus
Understanding and interpretation of Explanation of Benefits (EOB) from payors
Strong problem-solving skills, attention to detail, and ability to make timely decisions
Excellent internal and external customer service skills
Responsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
Qualifications:
Required Experience
Must be fluent in English
Minimum of one (1) year of advanced medical billing experience
Professional written and verbal communication skills
Knowledge and experience of computers and related technology
Ability to work independently with little or no direction and as a member of a team
Preferred (Not Required) Experience
Minimum of one (1) year working in a call center environment
Above average knowledge of insurance billing guidelines and policies
Experience with Commercial Insurance appeal and reconsideration processes
Experience with BCBS insurance a plus
EEO Statement:
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing for individuals with a disability.
More Information about this Job:
Check out our careers site to learn more about our benefit options.
-
Medical Billing – Revenue Cycle – Account Auditor
Found in: Resume Library US A2 - 1 week ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Title: Medical Billing – Revenue Cycle – Account Auditor Work Location: On-Site or Remote Pay: $18.00 JOB SUMMARY The Account Auditor works within the Shared Services Team by auditing accounts prior to closure or assigning safe pay balances to ensure compliance with...
-
Medical Billing – Payor Verification – Commercial
Found in: Resume Library US A2 - 2 weeks ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Title: Medical Billing – Revenue Cycle – Payor Verification - Commercial Work Location: Remote Pay: $18 JOB SUMMARY The Medical Billing – Payor Verification –Commercial will work with payor portals and payors via phone communications to verify benefits, deductible and...
-
Medical Billing
23 hours ago
West Plains, United States GLOBAL MEDICAL RESPONSE Full timeIMMEDIATE OPENING Medical Billing - Medicare Claim Status Follow-up Remote or On-Site Starting Pay $16.00 Job Summary The Medicare Claim Status Follow-up position is responsible for timely follow up of claims filed to Medicare Part B and Medicare Advantage along with accurate documentation of these follow-ups. This role requires someone who has strong...
-
Medical Billing – Claim Response – Payor Research – A/R Follow-up Specialist
Found in: Resume Library US A2 - 7 days ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: Medical Billing – Claim Response – Payor Research – A/R Follow-up Specialist - Commercial Immediate Opening Starting Pay: $20.00/hour Job Summary The Medical Insurance A/R Follow-up Specialist must have experience working with multiple commercial insurances. The successful candidate will...
-
Medical Billing
Found in: Resume Library US A2 - 2 weeks ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Title: Medical Billing – Revenue Cycle – Claim Prep and File Work Location: In Office | Remote |Hybrid Pay: $16.00 JOB SUMMARY The Medical Billing – Claim Prep and File Representative will be responsible for various areas within the Claim Prep and File...
-
Medical Billing
Found in: Resume Library US A2 - 1 week ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Medical Billing - Medicare Claim Status Follow-up Remote or On-Site Starting Pay $16.00 Job Summary The Medicare Claim Status Follow-up position is responsible for timely follow up of claims filed to Medicare Part B and Medicare Advantage along with accurate documentation of these...
-
Medical Billing
20 hours ago
West Plains, United States GLOBAL MEDICAL RESPONSE Full timeMedical Billing - Appeal - Medicare Follow Up Specialist Remote or On-Site Starting Pay $18.00 Job Summary The Appeal - Medicare Follow Up Specialist will follow up on the status of appeals with Medicare and Medicare Replacement (Advantage) plans. Essential Functions/ Duties * Conducts online and phone follow-up on pending appeal responses * Processes...
-
Medical Billing
Found in: Resume Library US A2 - 7 hours ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Medical Billing - Medicaid and Third-Party Liability Claim Status Follow-up Remote or On-Site Starting Pay $16.00 Job Summary The Medicaid and Third-Party Liability (TPL) Claim Status Follow-up position is responsible for timely follow up of claims filed to Medicaid (traditional...
-
Medical Billing Payor Verification Commercial
Found in: Lensa US P 2 C2 - 2 weeks ago
West Plains, United States Air Evac Lifeteam Full timeMore Information about this Job: IMMEDIATE OPENING Title: Medical Billing Revenue Cycle Payor Verification - Commercial Work Location: Remote Pay: $18 JOB SUMMARY? The Medical Billing Payor Verification Commercial will work with payor portals and payors via phone communications to verify benefits, deductible and out of pocket amounts, primary, secondary,...
-
Medical Billing
Found in: Resume Library US A2 - 1 week ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: Medical Billing - Revenue Cycle - Trip Intake – Hospital Call Team Representative On-Site or Remote Starting Pay $16.00 The Hospital Call Team representative works within the Trip Intake Team to obtain patient demographics and insurance information. Essential Functions/Duties Obtain patient...
-
340B Pharmacy Program Manager
19 hours ago
West Plains, United States Ozarks Medical Center Full timeThe 340B Compliance Program Manager is responsible for managing registration and participation in the 340B Program and for ensuring that all use of 340B throughout the organization is fully compliant. Responsible for achieving maximum utilization of 340B pricing through full 340B Program participation in all areas of qualified use meeting objectives defined...
-
BHC Quality Coordinator
21 hours ago
West Plains, United States Ozarks Medical Center Full timeAssists the BHC management team in developing goals and objectives, establishes, implements, and maintains BHC policies and procedures. Adheres to departmental standard of care and operates within professional code of ethical behavior including corporate compliance with all OZH, national, Federal, and State rules, billing requirements, and remains current on...
-
Membership Business Retention Specialist
Found in: Resume Library US A2 - 1 week ago
West Plains, Missouri, United States Air Evac Lifeteam Full timeMore Information about this Job: Membership Business Retention Specialist Location: Hybrid – West Plains, Missouri Hourly Rate: $12.00| Monthly Bonus Why Choose AirMed? As a leading provider of air medical transportation services, is one of ’s (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in...
-
Professional Billing Account Rep
Found in: Resume Library US A2 - 1 week ago
West Branch, Michigan, United States MyMichigan Health Full timeSummary: *Remote Work Opportunity* This position is responsible for the billing functions for MyMichigan Health and MyMichigan Medical Group physician practices. This position is responsible for billing and follow up of insurance accounts. It includes verification of benefits and communication with the insurance companies. It requires review of the...
-
Kansas - Northeast - Medical Director
Found in: Jooble US O C2 - 3 weeks ago
Missouri, United States MINERMASON & ASSOCIATES Full timeA brand-new freestanding Rehabilitation Hospital in Northeast Missouri is looking for a Medical Director! The hospital is expected to serve 650 patients annually, as it will be successful in that they have no immediate competition in the area. The organization truly distinguishes themselves by their commitment to their patients, employees, and the community...
-
Pharmacy Program Manager
Found in: Lensa US P 2 C2 - 2 weeks ago
West Plains, United States Ozarks Health Care Full timeThe 340B Compliance Program Manager is responsible for managing registration and participation in the 340B Program and for ensuring that all use of 340B throughout the organization is fully compliant. Responsible for achieving maximum utilization of 340B pricing through full 340B Program participation in all areas of qualified use meeting objectives defined...
-
Medical Biller
2 weeks ago
West Creek, United States A Step Above Health Management Systems Full timeJob DescriptionJob Description Benefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and...
-
Medical Biller
3 days ago
West Creek, United States A Step Above Health Management Systems Full timeJob DescriptionJob Description Benefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and...
-
Medical Biller
2 weeks ago
West Creek, United States A Step Above Health Management Systems Full timeJob DescriptionJob DescriptionBenefits:401(k)401(k) matchingPaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for...
-
Medical Biller
2 weeks ago
West Creek, United States A Step Above Health Management Systems Full timeJob DescriptionJob DescriptionBenefits:401(k)401(k) matchingPaid time offBenefits/PerksCompetitive CompensationGreat Work EnvironmentCareer Advancement OpportunitiesJob SummaryWe are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for...