100% Remote Medical Biller

100% REMOTE Medical Biller

Schedule: Monday-Friday 9AM-5PM - EST Hours

Equipment Required

Skills & Qualifications:

• 2+ years' experience in Medical Billing/Physician collections (centralized billing function is preferred)

• Strong analytics, communication and organization skills and 40 wpm typing speed are required

• High School Diploma or GED Equivalent

Job Description: The Patient Financial Service Rep ensures patient charges and payments are correct, insurance authorization has been obtained and timely submission of the account to achieve payment from third party payer or the patient. Demonstrates a high level of accuracy considering the volume and filing requirements of the various insurance payers. Also recognizes the priorities of the work to be completed in order to maximize efficiency.

• Examines denied and underpaid claims to determine reasons for discrepancies

• Communicates directly with payers to follow up on outstanding claims, resolve payment variances, and achieve timely reimbursement

• Provides payers with specific reasons for suspected underpayments and analyzes denial reasons given by payers

• Works with management to identify, trend, and address root causes of denials; helps pinpoint strategies for reducing A/R

• Maintains a thorough understanding of federal and state regulations, as well as specific payer requirements and explanations of benefits, in order to identify and report billing compliance issues and payer discrepancies

• Updates and maintains accurate files on each payer, including contact names, addresses, phone numbers, and other pertinent information; thoroughly documents all interactions with payers

• Effectively handles all communications, including telephone and email, from payers and departments within the business office

• Utilizes payer scorecards, identifies high-risk accounts, and prioritizes follow-up efforts

• Identifies and examines underpayments to determine if additional payment can be pursued; follows up with payers and patients accordingly

• Records appropriate, up-to-date notes in patient accounts, and provides insurance collectors accounts for follow-up

• Analyzes EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials, and more to verify accuracy of patient balances

This is a full-time contract job opportunity with benefits!

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.