Role Description
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Respond to Government payers by phone or correspondence concerning claims issues.
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Assists with all calls, correspondence and concerns regarding Medicare claims with the FIβs.
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Take action on bill review requests from the Collections Team in a timely manner.
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Complete worklist daily and ensure all accounts are set for follow up.
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Review unbilled accounts and ATB to ensure timely billing and collection.
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Communicate all denials to the billing supervisor.
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Aggressively work aged accounts to expedite cash, reduce bad debt and A/R days.
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Meets corporate goals monthly on billing and collections.
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Works with others as a team player, as well as the hospital/clinic staff.
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Investigates COB issues and communicates with appropriate staff members for resolution.
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Responsible for obtaining medical records required for certain commercial claims.
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Ensure all prebilling tasks are completed and correct information is sent out on claims.
Qualifications
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3+ years of related experience in medical billing experience with the top major Payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue).
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Have a full understanding of some of the top services for OP such as: Wound Care, Hyperbaric, and Physical Therapy.
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Worker Comp Billing, Tricare, VA is a plus.
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Outpatient Billing.
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Prepare, review, and submit accurate outpatient claims to payers.
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Ensure correct CPT/HCPCS codes, modifiers, and charges are applied.
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Validate authorizations, medical necessity, and documentation prior to billing.
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Correct claim errors and rebill as needed.
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Manage outpatient A/R from billing through final payment resolution.
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Perform payer follow-up on unpaid, denied, and underpaid claims.
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Identify and resolve payment discrepancies and underpayments.
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Work payer portals, EOBs, and clearinghouses to determine claim status.
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Myability software experience is a plus.
Requirements
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Proficient in use of Microsoft Word, Excel, Access and Outlook.
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Good interpersonal skills.
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Ability to provide positive customer service.
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Ability to maintain independent work schedule.
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Ability to work collaboratively with team members.
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Ability to be organized with attention to detail.
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Good math, analytical and problem solving skills.
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Data entry and 10-key by touch.
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2-3 years of related experience in medical billing experience with the top major Payors.
Benefits
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Medical, dental & vision.
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Critical Illness, Accident, and Hospital.
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401(k) Retirement Plan β Pre-tax and Roth post-tax contributions available.
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Life Insurance (Voluntary Life & AD&D for the employee and dependents).
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Short and long-term disability.
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Health Spending Account (HSA).
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Transportation benefits.
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Employee Assistance Program.
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Time Off/Leave (PTO, Vacation or Sick Leave).
Company Description
This is a Contract to Hire position based out of San Antonio, TX.
The pay range for this position is $24.00 - $26.00/hr. Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
This is a fully remote position.
This position is anticipated to close on Sep 22, 2026.