Medical Billing Specialist @Gastro Care Partners

[Hiring] Medical Billing Specialist @Gastro Care Partners

Mar 07, 2025 - Gastro Care Partners is hiring a remote Medical Billing Specialist. 💸 Salary: $18 - $22 per hour. 📍Location: USA.

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Role Description

The Billing Specialist is responsible for supporting the department in maximizing revenue and cash flow by performing charge entries, following up on all outstanding A/R, including resolution of denials, and generating effective written appeals to carriers to maximize reimbursement on incorrectly denied claims.

Handle all correspondence related to an insurance or patient account, contacting carriers, patients, and other facilities as needed to get maximum payment on accounts and identify issues or changes.
Utilize training and knowledge to interpret, understand, and apply complex Medicare guidelines to reduce claim denials.
Consistently practice established Peak standards and expectations to achieve superior client satisfaction and retention.
Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10, CPT, and HCPS codes.
Validate and verify data entered by reviewing reports for errors and correcting as necessary.
Collaborate with managers in assigned areas and provide feedback regarding documentation issues or reoccurring errors.
Ensure timely follow-up of unpaid claims, resolution of denials, and other payer-related correspondence through appropriate research and appeal processes.
Resolve claim rejections, underpayments, and denials with appropriate payer and initiate collection follow-up of unpaid or denied claims, interpreting remittances to determine appropriate course of action.
Identify and respond to patterns of denials or billing practices and perform complex account investigation as needed, to achieve resolution.
Pursue reimbursement from carriers by placing phone calls and recording all contact in an electronic tracking system, ensuring progress is made on outstanding accounts.
Coordinate third party collections and work toward the successful reduction in outstanding balances for assigned divisions or projects.
Maintain patient confidentiality according to compliance policies and HIPPAA.
Respond to inquiries from insurance carriers via telephone, email and/or fax, demonstrating a high level of customer service.
Review and resolve uncollected accounts and prepare charge corrections and write offs.
Take incoming and outgoing patient calls to manage collections and answer patient questions.
Special projects as assigned.

Qualifications

High school diploma or equivalent
Minimum of 2 years of experience in a fast-paced medical billing environment
Experience in a health care setting required
Experience working unpaid claims and denials
Proficiency in MS Office
Familiarity with CPT and ICD-10 required; CPC certification preferred

Requirements

Excellent problem-solving skills
Detail oriented and organized
Able to multi-task and work quickly, with constantly changing circumstances and priorities
Ability to establish and maintain effective working relationships with patients, management, employees, and the public.
Demonstrated ability to read and interpret EOB’s (Explanation of Benefits) and insurance contractual adjustments
Strong computer skills
Able to prioritize assignments and work under minimal supervision
Ability to handle a high volume of work with speed and accuracy
Proven ability in collections and negotiation

Company Description

Gastro Care Partners is the national partner for successful regional gastroenterology practices. We believe in the mantra “medicine is local.” Gastro Care Partners provides high-performing regional practices with the resources necessary to thrive in today’s dynamic healthcare landscape while maintaining their practices’ identities.

Experience Requirements

Entry Level

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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.

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Medical Billing Specialist @Gastro Care Partners

Customer Service

Salary 💸 $18 - $22 per hour	Remote Location USA
Job Type full-time	Posted Mar 07, 2025

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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.

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[Hiring] Medical Billing Specialist @Gastro Care Partners

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