Billing & Contract Specialist Fulltime - Remote

Virtua; Brasil; Teletrabalho; BRL 80.000 - 120.000; Tempo integral

Resumo da oferta

A healthcare services company is seeking a detail-oriented professional to manage pre-certification processes and collaborate with insurers for patient billing. The role allows for 100% remote work flexibility and requires 2-3 years of experience in EMS coding and insurance authorization. Certification as a Certified Health Care Access Associate (CHAA) is required within the first year.

Serviços

Comprehensive benefits package including medical, dental, and vision insurance

Opportunities for career advancement

Supportive and collaborative work environment

Qualificações

• 2-3 years of EMS registration coding and billing experience required.
• 2-3 years of insurance authorization experience required.
• Understanding of third-party reimbursement methodologies, especially pre-certification and COB regulations.

Responsabilidades

• Manage pre-certification and prior authorization processes for patient encounters.
• Resolve denied claims in collaboration with insurance companies.
• Review, audit, and reconcile EMS agency invoices and Medicaid trips.
• Interact with internal departments regarding billing and authorizations.

Conhecimentos

Insurance authorization experience

EMS registration coding and billing experience

Proficient in MS Excel

Understanding of third-party reimbursement methodologies

Formação académica

High School Diploma

Descrição da oferta de emprego

Employer Industry: Healthcare Services

Why consider this job opportunity

• Salary up to $33.71 per hour
• Comprehensive benefits package including medical, dental, and vision insurance
• Opportunity for career advancement and growth within the organization
• 100% remote work flexibility available in select states
• Supportive and collaborative work environment
• Certification as a Certified Health Care Access Associate (CHAA) required within the first year

What to Expect (Job Responsibilities)

• Manage pre-certification and prior authorization processes for patient encounters
• Resolve denied claims in collaboration with insurance companies and the Patient Accounting Department
• Review, audit, and reconcile EMS agency invoices and Medicaid trips
• Interact with internal departments and external vendors regarding billing and authorizations
• Serve as the department’s Keeper of the Records, managing medical records requests and subpoenas

What is Required (Qualifications)

• 2-3 years of EMS registration coding and billing experience
• 2-3 years of insurance authorization experience
• Understanding of third-party reimbursement methodologies, especially pre-certification and COB regulations
• Proficient in MS Excel and various PBS-related applications
• High School Diploma required

How to Stand Out (Preferred Qualifications)

• Certified Health Care Access Associate (CHAA) certification preferred within the first year of employment

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