[Hiring] Government Insurance Specialist @Med A/Rx

Role Description

Support our healthcare partners & help them thrive at Meduit! Insurance Follow-Up Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today!

Key Responsibilities

• Process, monitor, and collection of Medicare, Medicaid, TRICARE, VHA, and other government insurance claims in accordance with payor requirements
• Verify accuracy of billing data and revise any errors
• Import/post payments from all Government payors
• Timely resolution of all claims including appeals
• Follow up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors
• Work with personal information and maintain patient confidentiality
• Reduce outstanding accounts receivable by managing claims inventory
• Gather, verify, and input patient demographic, clinical, and financial information from various sources to ensure accurate registration, billing, and eligibility for services
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
• Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and clients

Essential Skills

• Integrity
• Communication
• Problem-solving
• Teamwork

Qualifications

• High School Diploma/GED
• Meditech expertise
• 4 years of Denials Management experience
• 4 years Medical Billing/Follow-up experience
• 3 years of Medicare, Medicaid, or other government payor experience
• Proficiency in medical coding (ICD-10, CPT, HCPCS)
• Proficiency with billing software and electronic health record systems

Requirements

• Pay: $20-22/hour
• Schedule: 8am-5pm Central, Mountain, or Pacific Time Zone
• Location: Remote
• Paid Training: 3 weeks
• Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
• Background check: As a condition of employment, a pre-employment background check will be conducted.
• At this time, we are unable to consider candidates residing in the state of New York for this position

Benefits

• Steady work schedule (remote)
• Full comprehensive Paid Training Program (3+ weeks)
• Medical, Dental, and Vision insurance
• HSA and FSA available
• 401(K) plans with company match
• PTO and Paid holidays
• Employer paid life insurance and long-term disability
• Internal company growth

Company Description

Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation’s leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement. We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at www.meduitrcm.com.

Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class.