Hospital Medicare Biller

This is a fully remote position, open to applicants in United States.

📋 Description

• Process payments and adjustments for accounts receivable.

• Promptly research and resolve discrepancies in accounts receivable.

• Follow up on outstanding and aged receivables.

• Maintain organized documentation for accounts receivable.

• Identify opportunities for enhancing accounts receivable processes.

• Possess proven experience in hospital inpatient, outpatient, CAH, Method I & II, RHC, and provider-based billing along with accounts receivable follow-up knowledge.

• Have a solid understanding of billing regulations pertaining to Medicare and Medicare Advantage.

• Be capable of functioning independently to ensure timely and thorough follow-up on unresolved hospital and physician claims.

• Demonstrate strong proficiency in managing RTP and denied claims.

• Exhibit strong skills in preparing and submitting appeals and reconsiderations to health plans.

• Quickly adapt to proprietary tools and technologies.

⛳️ Requirements

• A minimum of 5 years of experience in hospital and physician claims follow-up and denials management.

• At least 3 years of experience in Medicare billing or Medicare follow-up.

• Proficiency in hospital EMRs such as Cerner, Epic, McKesson, CPSI, and Meditech.

• Proficiency in various billing systems including Waystar, SSI, Quadax, and Availity.

• Proficiency with the Medicare DDE system.

• Strong skills in MS Excel and MS Outlook.

• Excellent written and verbal communication abilities.

• Exceptional organizational, time management, and interpersonal skills.

🏝️ Benefits

• Hourly wage commensurate with experience.

• Comprehensive benefits package including a 401k with company match.

• Progressive paid time off policy with paid holidays.