Medical Biller-Remote (Raleigh, North Carolina Applicants Only

GenesisCare; United States; Remote; USD 40,000 - 65,000; Full time

Job summary

An established industry player in oncology and multispecialty care is seeking a Billing & Collection Specialist to join their remote team. This role is crucial in ensuring timely payments from insurance companies and involves tasks like preparing medical billing claims, investigating payment denials, and coordinating with various departments. With a commitment to improving patient outcomes, this innovative firm offers a supportive work environment where your contributions will directly impact patient care and satisfaction. If you have a passion for healthcare and a keen eye for detail, this opportunity is perfect for you.

Qualifications

• 1-3 years of experience in healthcare billing and collections.
• Advanced knowledge of Microsoft Office products.

Responsibilities

• Prepare and re-submit medical billing claims to insurance carriers.
• Investigate and resolve payment denials from insurance carriers.
• Monitor claims for prompt payment from insurance carriers.

Skills

Medical Billing

Claims Processing

Denial Research

Insurance Knowledge

Microsoft Office

Education

High School Diploma

Tools

Intergy System

Job description

At GenesisCare, we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.

Billing & Collection Specialist - Remote (Raleigh, North Carolina Applicants Only)

Role Summary:

This role is responsible for collecting payments from various insurance companies. Collections activities include denial research, submission of appeals, and follow-up on no-response and partially paid claims. This includes identifying consistent payer-related payment delays and communicating patterns to management. The position will also ensure corrected claims are sent out in a timely manner. Additionally, coordinators will support registration and insurance changes.

Your Key Responsibilities:

1. Prepare and re-submit medical billing claims to insurance carriers electronically or via hard copy.
2. Secure needed medical documentation requested by insurance carriers.
3. Investigate, analyze, and resolve the reasons for payment denials from insurance carriers.
4. Process denials until claims are paid or the responsibility is assigned to the patient.
5. Stay updated on all insurance carrier billing requirements and changes.
6. Monitor claims for prompt payment from insurance carriers.
7. Coordinate with staff from various departments to prompt payment from insurance carriers.
8. Support standards, policies, procedures, confidentiality, and ethical behavior.
9. Perform other responsibilities as required.
10. Ensure proper documentation is attached to corrected claims if needed.
11. Send corrected claims electronically or via mail promptly.
12. Assist with special corrected claims projects as needed.
13. Update insurance information as necessary.
14. Perform other duties as assigned.

Minimum Qualifications:

1. High school diploma or equivalent.
2. 1-3 years of experience in the healthcare field.
3. Advanced knowledge of Microsoft Office products.

Preferred Qualifications:

1. Experience with Intergy system.
2. Oncology experience is a plus.

About GenesisCare:

An integrated oncology and multispecialty network in Florida and North Carolina, providing care for over 120,000 patients annually. GenesisCare U.S. offers community-based cancer care and other services at convenient locations. Our purpose is to redefine the care experience by improving patient outcomes, access, and care delivery. With advanced technology and innovative treatments, our skilled physicians and support staff provide comprehensive care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT, and surgical oncology. For more information, visit https://www.genesiscareus.com.

GenesisCare is an Equal Opportunity Employer committed to diversity and inclusion.