Remote Outpatient Billing & Collections Expert

TEKsystems; United States; Remote; USD 33,000 - 36,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Life Insurance

Disability (short & long-term)

HSA

Job summary

TEKsystems is seeking a Medical Billing Specialist for a Contract to Hire remote role based out of San Antonio, TX. You will respond to government payers by phone or email, review and submit outpatient claims, and work with the Collections Team to resolve denials and aging A/R.

The role requires 3+ years of medical billing experience with major payors, knowledge of CPT/HCPCS codes, and the ability to obtain medical records and prebill documentation.

Qualifications

• 3+ years of related experience in medical billing with top major payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue)
• Must have understanding of OP services such as Wound Care, Hyperbaric, and Physical Therapy
• Worker Comp Billing, Tricare, VA is a plus
• Must have 2+ years Outpatient Billing
• Prepare, review, and submit accurate outpatient claims to payers
• Ensure correct CPT/HCPCS codes, modifiers, and charges are applied
• Validate authorizations, medical necessity, and documentation prior to billing
• Correct claim errors and rebill as needed
• 2+ years Outpatient Collections & A/R FollowUp
• Manage outpatient A/R from billing through final payment resolution
• Perform payer followup on unpaid, denied, and underpaid claims
• Identify and resolve payment discrepancies and underpayments
• Work payer portals, EOBs, and clearinghouses to determine claim status

Responsibilities

• Respond to Government payers by phone or correspondence concerning claims issues
• Assist with all calls, correspondence and concerns regarding Medicare claims with the FIs
• Take action on bill review requests from the Collections Team in a timely manner
• Complete worklist daily and ensure all accounts are set for follow up
• Review unbilled accounts and ATB to ensure timely billing and collection
• Communicate all denials to the billing supervisor
• Aggressively work aged accounts to expedite cash, reduce bad debt and A/R days
• Meets corporate goals monthly on billing and collections
• Works with others as a team player, as well as the hospital/clinic staff
• Investigates COB issues and communicates with appropriate staff members for resolution
• Responsible for obtaining medical records required for certain commercial claims
• Ensure all prebilling tasks are completed and correct information is sent out on claims
• Provide support to all facilities when requests are received or assistance is needed. Be timely and responsive to all requests
• Treat our facilities as Respects dignity and confidentiality by adherence to all applicable policies and procedures
• Promotes the Mission and Vision of Post Acute Medical within the work environment and the community
• Maintains the highest level of customer service via courtesy, compassion and positive communication

Skills

Payment posting

Medical

Payment poster

Data entry

Medical billing

medicaid

Collection calls

Revenue cycle

outpatient

wound care

physical therapy

Job description

TEKsystems is seeking a Medical Billing Specialist for a Contract to Hire remote role based out of San Antonio, TX. You will respond to government payers by phone or email, review and submit outpatient claims, and work with the Collections Team to resolve denials and aging A/R.

The role requires 3+ years of medical billing experience with major payors, knowledge of CPT/HCPCS codes, and the ability to obtain medical records and prebill documentation.