Billing Specialist (Remote)

Remote Full-time
Company: Trilogy Revenue Cycle Solutions, LLC (an EqualizeRCM Company)

Job Title: Billing Specialist

The Billing Specialist is expected to have a general knowledge of medical billing and follow-up procedures including: ensuring proper submission of all claims while meeting required billing deadlines, consistently following up on unpaid claims utilizing assigned tasks or aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.

Responsibilities:
• Ensures all claims are submitted with a goal of zero errors
• Verifies completeness and accuracy of all claims prior to submission
• Research rejected and denied claims; reconciles with original claim; makes any necessary corrections; resubmits corrected claims, or submits appeals for reconsideration, as appropriate to the situation
• Makes necessary arrangements for medical records requests, completes additional information request, etc., as requested by insurance companies
• Follows up with all insurance carriers on unpaid claims until the claims are paid and have reached a zero balance
• Prepares, reviews and sends patient statements for service amounts such as co-payments, deductibles and coinsurance
• Evaluates patient’s financial status and establishes budget payment plans; processes accounts to collections for nonpayment, as required; follows up and reports status of delinquent accounts
• Communicates effectively with providers and patients regarding claims/billing questions or complaints
• Maintains goodwill with both patients and insurance companies; responds in a timely manner and ensures all issues are resolved according to established guidelines and required laws and regulations
• Regularly meet with Director to discuss and resolve reimbursement issues or billing obstacles
• Completes work with excellent attention to detail to ensure compliance with departmental/company/HIPAA standards
• Maintains strict confidentiality of information at all times
• Performs other duties as assigned

Qualifications:
• High school diploma or equivalent
• Minimum 2 years of experience in healthcare billing
• Excellent attention to detail, problem solving and critical thinking
• Must have a team player mindset with adaptability to monitor own work
• High degree of professionalism and customer service
• Excellent written and oral communication skills
• Working knowledge of Microsoft Word and Excel

Please note that we are only hiring in the following states: Arkansas, Florida, Michigan, Mississippi, New Mexico, Ohio, Tennessee, and Texas

Job Type: Full-time

Pay: $16.00 - $20.00 per hour

Benefits:
• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:
• 8 hour shift
• Monday to Friday

Application Question(s):
• Do you reside in one of the following states: Arkansas, Florida, Michigan, Mississippi, New Mexico, Ohio, Oklahoma, Tennessee, or Texas?

Work Location: Remote

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