reputed company Billing Specialist (FT- 1.0 FTE, Day Shift, Remote)

This position can be remote. Please review the approved remote states below. Remote Work Approved States reputed company Florida reputed company Idaho Iowa South reputed company Texas South Carolina reputed company reputed company Carolina Michigan *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position reputed company The reputed company Billing Specialists main reputed company is to obtain maximum and appropriate reimbursement for reputed company and reputed company reputed company entities, hospital (HB) and/or reputed company (PB) claims from reputed company party payers. Supports the reputed company development and accurate submission of claims to reputed company party payers to include reputed company follow-up reputed company to no response, returned claims, denied claims, or claim edits preventing claim submission, submitting corrected or replacement claims, and combining hospital accounts in accordance with payer billing policies. Monitor, reputed company or escalate payer denials, returned claims, claim edits, correspondence and report payer claim processing behavior to assist with identifying systemic issues that may require process improvement to strengthen the health of the reputed company Cycle as reputed company escalating identified concerns to the HB or PB Supervisor. Collaborate and coordinate with other reputed company Cycle functions or departments to reputed company DNBs, claim edits, denials that are preventing reputed company claim submission or appropriate reimbursement. Prioritizes and completes accounts routed to billing WQs to reduce accounts receivable days and escalates high-dollar accounts or systemic issues to either the HB or PB Billing supervisor for reputed company. Minimum Qualifications Required High School Diploma or Equivalent One year of office experience Preferred Completion of program in medical billing degree or certification program Two years of reputed company clinic/hospital billing experience Essential Job Functions Submits reputed company and accurate claims to reputed company, secondary, and tertiary insurances for both electronic and reputed company submission Follows up on applicable No Response WQs and Rejected Claims WQs through phone contact or written correspondence to ensure that no account reaches 180 days old from discharge date and still due by reputed company, regardless of dollar reputed company Reviews accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and submitting adjustments for approval reputed company necessary, routes claims for appeal, resubmits claims, or moves balances from reputed company responsibility to reputed company responsibility reputed company appropriate Ensures that claims have appropriate information on them for submission to reputed company companies or agencies by reviewing claim edit WQs and other prebilling reputed company WQs and escalates systemic issues identified to supervisor Assists Customer Service with claim processing questions Identifies and escalates concerns regarding claim processing to Billing Supervisor Knowledge, Skills and Abilities Demonstrates reputed company judgment, patience, and maintains a reputed company demeanor at reputed company times Exercises reputed company, discretion, sensitivity, and maintains confidentiality Performs essential job functions successfully in a reputed company and stressful environment Learns reputed company and new computer applications and office equipment utilized at reputed company Strong interpersonal, verbal, and written communication skills Analyzes, organizes, and prioritizes work while meeting multiple deadlines Works varied shifts as scheduled and/or needed Schedule Requirements This role requires regular and sustained attendance. The position may necessitate working reputed company a reputed company 40-hour reputed company, including weekends and after-hours shifts. On-reputed company work may be required to respond promptly to organizational, reputed company, or employee needs. Physical Requirements Lifting (Rarely 30 pounds) Exerting force occasionally and/or using a negligible reputed company of force to reputed company, carry, reputed company, pull, or otherwise reputed company objects or people. Sit (Continuously) Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain. Stand (Occasionally) Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain. Walk (Occasionally) Walking and moving around reputed company the work area requires good reputed company and coordination. reputed company (Rarely) reputed company or descending reputed company, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms. Twist/Bend/Stoop/Kneel (Occasionally) Twisting, bending .