Revenue Cycle Medical Billing Claim Status Specialist

REACH Air Medical Services; West Plains (MO); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading medical services provider is seeking a Commercial Claim Status Specialist for a remote or on-site position. The role involves verifying insurance claims and making inquiries to resolve billing issues. Candidates need at least one year of medical billing experience and excellent communication skills. You will work on a flexible schedule after training and have the opportunity for bonuses.

Benefits

This position is bonus eligible

Flexible hours after training

Qualifications

• Must be fluent in English.
• Minimum of one year of medical billing experience.
• Ability to verify insurance claim status.

Responsibilities

• Verifies the status of claims on a timely basis.
• Makes claim inquiries via online portals and telephone.
• Documents all account activity accurately.

Skills

Fluency in English

Medical billing experience

Professional communication skills

Knowledge of insurance payor portals

Ability to work independently

Education

High school diploma or GED

Tools

Computers and related technology

Job description

Revenue Cycle – Medical Billing - Commercial Claim Status Specialist

Location: Remote or On-Site

Hourly Pay: $19

This position is bonus eligible

Work Schedule: Training M-F 8am-4pm CST, Flex Hours (after training) M-F 7am-4pm CST

JOB SUMMARY

The Medical Billing – Revenue Cycle – Commercial Claims Status Specialist works with one or multiple payor sources including Commercial, Blue Cross/Blue Shield, and Veterans’ Administration insurances.

ESSENTIAL FUNCTIONS/DUTIES

• Verifies the status of claims that have been billed to insurance on a timely basis according to the productivity guidelines for Claim Status/Medical Records goals.
• Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.
• Meets daily and monthly departmental production goals to ensure that the company is achieving its financial goals.
• Identifies, documents, and communicates trends in recurring rejections and denials to leadership.
• Recommends process improvements or system edits to eliminate future denials.
• Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.
• Documents all account activity in an accurate and timely manner for all touches made on any patient account.
• Contact patient for additional information when necessary to push the claim through for payment.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum of one (1) year of medical billing experience
• Professional written and verbal communication skills
• Knowledge of navigating insurance payor portals
• Ability to verify insurance claim status and complete medical records
• Knowledge and experience of computers and related technology at an intermediate level
• Ability to work independently with little or no direction and as a member of a team

Preferred Experience:

• Minimum of one (1) year working in a call center environment
• Above average knowledge of insurance billing guidelines and policies
• Experience with Commercial Insurance processes and policies
• Experience with Veterans’ Administration Claims

Preferred Education:

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam?As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world atwww.AtaMomentsNotice.com. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at www.GlobalMedicalResponse.com/Careers,

EEO Statement

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our benefit options.

R0046418

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Revenue Cycle – Medical Billing - Commercial Claim Status Specialist

Location: Remote or On-Site

Hourly Pay: $19

This position is bonus eligible

Work Schedule: Training M-F 8am-4pm CST, Flex Hours (after training) M-F 7am-4pm CST

JOB SUMMARY

The Medical Billing – Revenue Cycle – Commercial Claims Status Specialist works with one or multiple payor sources including Commercial, Blue Cross/Blue Shield, and Veterans’ Administration insurances.

ESSENTIAL FUNCTIONS/DUTIES

• Verifies the status of claims that have been billed to insurance on a timely basis according to the productivity guidelines for Claim Status/Medical Records goals.
• Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.
• Meets daily and monthly departmental production goals to ensure that the company is achieving its financial goals.
• Identifies, documents, and communicates trends in recurring rejections and denials to leadership.
• Recommends process improvements or system edits to eliminate future denials.
• Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.
• Documents all account activity in an accurate and timely manner for all touches made on any patient account.
• Contact patient for additional information when necessary to push the claim through for payment.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum of one (1) year of medical billing experience
• Professional written and verbal communication skills
• Knowledge of navigating insurance payor portals
• Ability to verify insurance claim status and complete medical records
• Knowledge and experience of computers and related technology at an intermediate level
• Ability to work independently with little or no direction and as a member of a team

Preferred Experience:

• Minimum of one (1) year working in a call center environment
• Above average knowledge of insurance billing guidelines and policies
• Experience with Commercial Insurance processes and policies
• Experience with Veterans’ Administration Claims

Preferred Education:

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam?As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world atwww.AtaMomentsNotice.com. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at www.GlobalMedicalResponse.com/Careers,