Medical Billing – Appeal – Medicaid/Workers’ Compensation – Follow Up Specialist
On-Site or Remote
Starting Pay $18.00
Job Summary
The Medical Billing – Appeal – Medicaid/Workers’ Compensation Follow Up Specialist will follow-up on appeal status with traditional Medicaid, MCOs, and Workers’ Compensation payors in a timely manner to achieve maximum reimbursement on claim denied for medical necessity, closest appropriate, and/or air versus ground.
Essential Functions/ Duties
· Conducts online and phone follow-up on pending appeal responses.
· Processes all payor responses to submitted appeals.
· Handles inbound/outbound call center calls for payors and patients/guarantors.
Qualifications
Required Experience
· Must be fluent in English
· Minimum three (3) years of experience in healthcare/revenue cycle billing environment
· Above average knowledge of various Medicaid payor billing guidelines and Workers’ Compensation
· Ability to interpret remittance advices/explanation of benefits
· Knowledge and experience of computers and related technology, at an intermediate level
Preferred Experience:
· Experience with post bill follow up and/or appeals for all Medicaid and Workers’ Compensation payors
· Minimum of one (1) year in a call center environment
· Proficient in Word, Excel, Office 365
Required Education
· High School diploma or equivalent
Skills
· Ability to define and identify problems, collect data, establish facts, and draw valid conclusions
· Ability to respond to inquiries or complaints from customers in a positive and productive manner
· Ability to calculate numbers, correct entries, and post to records
· Ability to gather data, compile information, and prepare reports
· Ability to use independent judgment and to manage and impart confidential information
· Ability to prepare routine administration
Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at GlobalMedicalResponse.com/Careers.
EEO StatementGlobal Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
