Physician Medical Billing Specialist - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player in healthcare solutions is seeking a detail-oriented Physician Medical Billing Specialist to join their remote team. This role focuses on ensuring timely resolution of patient accounts by effectively following up on claims and collaborating with various stakeholders. Ideal candidates will possess a solid understanding of the revenue cycle and demonstrate strong communication skills. The position offers a dynamic work environment where adaptability is key, and team support is essential. If you're looking to make a meaningful impact in the healthcare sector, this opportunity is perfect for you.

Qualifications

• 1-4 years of medical claims or hospital collections experience required.
• High School diploma or equivalent; some college preferred.

Responsibilities

• Research accounts and resolve balances efficiently.
• Interact with insurance plans, patients, and team members professionally.

Skills

Medical Claims Processing

Revenue Cycle Knowledge

Communication Skills

Interpersonal Skills

MS Office Proficiency

Typing Speed (45 wpm)

Education

High School Diploma

Some College

Tools

Hospital Billing Systems

Insurance Processing Software

Job description

Physician Medical Billing Specialist - Remote

Join to apply for the Physician Medical Billing Specialist - Remote role at Conifer Health Solutions.

Job Summary: The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. The representative will need to effectively follow-up on claim submission, remittance review for insurance collections, and create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare, and Medicaid insurance is preferable. An effective revenue cycle process is achieved by working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving accounts with minimal assistance.

Responsibilities include:

• Perform duties professionally, interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
• Use basic computer skills to navigate various system applications.
• Access payer websites and discern pertinent data to resolve accounts.
• Document clear notes regarding claim status and actions taken.
• Maintain productivity goals and meet quality standards.
• Identify and communicate issues such as system access or payor behavior.
• Support team members as needed.

Essential Duties and Responsibilities:

• Research accounts, contact third-party payors or patients, and resolve balances efficiently.
• Review contracts, identify billing or coding issues, and request re-bills or corrections.
• Maintain current desk inventory and achieve productivity and quality standards.
• Participate in meetings, training, and respond to communications timely.
• Ensure compliance with applicable laws and regulations.

Qualifications: High School diploma or equivalent; some college preferred. 1-4 years of medical claims or hospital collections experience. Minimum typing speed of 45 wpm.

Knowledge, Skills, and Abilities: Understanding of the revenue cycle, intermediate skills in MS Office, ability to learn hospital systems quickly, strong communication and interpersonal skills, and knowledge of insurance processes and forms.

Physical Demands and Work Environment: Office setting, sitting at a computer for extended periods, call center environment with multiple workstations.

Compensation: $15.80 - $23.70 per hour, based on location, qualifications, and experience. Benefits and additional compensation details provided.