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Customer Service
Billing Specialist II
@R1 RCM Holdco Inc.
[Hiring] Billing Specialist II @R1 RCM Holdco Inc.
Mar 14, 2025 - R1 RCM Holdco Inc. is hiring a remote Billing Specialist II. 💸 Salary: $15.45 - $24.29 per hour. 📍Location: USA.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
As our Billing Specialist, you will help the Billing department straighten up claims and prepare them to be submitted so that they can be sent out to various insurance payers, ensuring timely reimbursement.
- Verify benefits and complete authorizations for specialty items using Medicare/Medicaid systems
- Return work orders to the specialty shops for billing
- Follow up with various insurance payers to ensure claims are billed correctly and in compliance with all relevant regulations and payer requirements
- Understand the difference between purchased and rental equipment and how authorizations for both are processed
- Review, correct, and finalize claims to ensure accuracy before submission
- Efficiently process and send out claims to various insurance payers
- Utilize EPIC software for managing hospital billing processes and maintaining accurate patient records
- Handle billing for wheelchairs and other specialty items, ensuring compliance with all relevant regulations and payer requirements
- Conduct thorough edits on UB-04 claims to ensure they meet payer-specific guidelines and standards
Qualifications
- Proven experience in hospital billing, particularly with specialty items like wheelchairs and crutches
- Strong understanding of insurance payer websites along with experience billing Medicaid and/or Medicare claims
- In-depth knowledge of Medicare billing processes and familiarity with the DDE system
Requirements
- High School Diploma or equivalent (GED)
- 2 years of acute hospital billing experience
Benefits
- Competitive benefits package
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
Customer Service
Customer Service
|
Salary
💸
$15.45 - $24.29 per hour
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 14, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
