Revenue Cycle Medical Billing – IDR Claim Status Representative
Location: Remote or On-Site
Hourly Pay: $19
(this position is bonus eligible)
Work Schedule: Full-Time
The Revenue Cycle Medical Billing IDR Claim Status Representative must have experience working with one or multiple payor sources, such as Commercial and Blue Cross/ Blue Shield insurances. The successful candidate will have effective communication skills.
Essential Functions/Duties
· Verifies the status of claims that have been billed to insurance on a timely basis according to productivity guidelines.
· Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.
· Meets daily and monthly departmental production goals set forth by the Supervisor to ensure that the company is achieving its financial goals.
· Identifies, documents, and communicates trends in recurring rejections and denials to Supervisor.
· Recommends process improvements or system edits to eliminate future denials.
· Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.
· Documents all account activity in an accurate and timely manner for all touches made on any patient account.
· Contacts patients for additional information when necessary to push the claim through for payment.
· Submits requested additional information/documentation at payor request for claims to process accordingly.
Qualifications:
Required Experience
· Must be fluent in English
· Minimum of one (1) year of 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 Experience
· Minimum of one (1) year working in a call center environment
· Above average knowledge of health care billing procedures, reimbursements, and third-party payor standards.
· Understanding and interpretation of Explanation of Benefits (EOB) from payors
· Experience with Commercial Insurance processes and policies is a plus
Preferred Education
· High School Diploma, GED, or significant relevant work experience
