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 claims zero and under paid claims.
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 and Workers’ Compensation payor billing guidelines
· Ability to interpret remittance advices/explanation of benefits
· Minimum of one (1) year in a call center environment
· Knowledge and experience of computers and related technology, at an intermediate level
Preferred Experience:
· Appeal writer experience
· 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
Working Conditions
· Work in a team environment
· Utilize various software programs
· May be required to sit for long periods of time
· Duties require the employee to regularly reach with hands and arms; speak and hear
· Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus
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.
