Medical Billing Specialist

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

📋 Description

• May be required to perform one or more of the following tasks based on business needs (including but not limited to): Patient demographic data entry.

• Obtaining referrals and pre-authorizations as necessary for procedures.

• Verifying eligibility and benefits for treatments, hospitalizations, and procedures.

• Reviewing patient bills for accuracy and completeness, and acquiring any missing information.

• Preparing, reviewing, and submitting claims using billing software, including both electronic and paper claim processing.

• Following up on unpaid claims within the standard billing cycle timeframe.

• Verifying each insurance payment for accuracy and compliance with contracted discounts.

• Contacting insurance companies regarding any discrepancies in payments when necessary.

• Identifying and billing secondary or tertiary insurances.

• Reviewing accounts for patient follow-up with insurance.

• Researching and appealing denied claims.

• Responding to patient or insurance telephone inquiries related to assigned accounts.

• Establishing patient payment plans and managing collection accounts.

⛳️ Requirements

• A minimum of 2 years of Revenue Cycle experience in a healthcare setting is required.

• Must possess excellent computer knowledge of Patient Accounting systems.

• An Associate's degree or equivalent is necessary; a Bachelor’s degree in a related field is preferred.

• A coding certificate is preferred.

🏝️ Benefits

• Competitive salary.

• Incentivized bonus plan.

• Ability to work remotely from home.

• Three weeks of paid time off, with accrual starting on the first day.

• Comprehensive medical, dental, and vision insurance plans.

• 401(k) with company match.

• Health Savings Account.

• Basic Life Insurance coverage.

• Cell Phone Allowance.