Revenue Cycle Medical Billing Government and Workers' Comp Appeal Prep

Global Medical Response; West Plains (MO); Hybrid; USD 20,000 - 28,000; Full time

Job summary

Global Medical Response is seeking a Government and Workers’ Compensation Appeal Prep representative to gather and prepare appeal documentation and payor forms for the appeal writer. You will also submit written appeals via payor portal, fax, or email.

The role supports timely follow-up with national payors, interprets remittance advice, and maintains knowledge of government billing guidelines. Strong communication and Excel skills are essential.

Qualifications

• Minimum three (3) years in healthcare/revenue cycle billing environment.
• Above average knowledge of Government and Workers’ Compensation payor billing guidelines.
• Ability to interpret remittance advices.
• Experience with post billing for Government and WC payors.
• Minimum one (1) year in a call center environment.
• Proficient in Word, Excel, Office 365.
• Must be fluent in English.
• Ability to work independently or in a team.
• Empathic and professional written/verbal communication skills.
• Intermediate computer skills with Microsoft Office familiarity.
• Good time management skills.

Responsibilities

• Evaluates documentation and follows up for facility records.
• Prepares appeal packet for submission to the appeal writer.
• Conducts online and phone follow-up for information needs.
• Maintains knowledge of billing regulations and payor trends.
• Communicates clearly and concisely, orally and in writing.

Skills

Healthcare billing knowledge

Government payor rules

English fluency

Excel/Office 365

Call center experience

Communication skills

Time management

Education

High school diploma

GED

Significant relevant work experience

Tools

Microsoft Word

Microsoft Excel

Office 365

Job description

Revenue Cycle Medical Billing Government and Workers’ Compensation – Appeal Prep

Location: Remote or On-Site, United States

Hourly Compensation: $17.50

(this position is bonus eligible)

Work Schedule: Full-Time

JOB SUMMARY

The Government and Workers’ Compensation Appeal Prep representative is responsible for gathering and preparing appeal documentation and payor specific forms for the appeal writer to utilize. This position is also responsible for submission of written appeals via payor portal, fax, or email.

ESSENTIAL FUNCTIONS/DUTIES

• Evaluates available documentation and follows up on any requests needed for facility records.
• Prepares appeal packet for submission to the appeal writer.
• Conducts online and phone follow-up on any information needed for appeal.
• Maintains a working knowledge of billing regulations and follow-up collection trends with a diverse group of national payors.
• Communicates clearly and concisely, both orally and in writing.

QUALIFICATIONS

Required Experience

• Minimum three (3) years’ of experience in healthcare/revenue cycle billing environment
• Above average knowledge of various Government and Workers’ Compensation payor billing guidelines
• Ability to interpret remittance advices
• Experience with post billing for all Government and Workers’ Compensation payors
• Minimum of one (1) year in a call center environment
• Proficient in Word, Excel, Office 365
• Must be fluent in English
• Ability to work independently or as an active member of a team
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level
• Organized to include good time management skills

Preferred Experience

• Ability to define and identify problems, collect data, establish facts, and draw valid conclusions
• Ability to respond to inquiries or complaints from customers in a positive and productive manner
• Ability to calculate numbers, correct entries, and post to records
• Ability to gather data, compile information, and prepare reports
• Ability to use independent judgment and to manage and impart confidential information

Education

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

Skills

• Knowledge of health care billing procedures, reimbursement, third party payor regulations, documentation, and standards
• Knowledge of health care billing compliance regulations
• Knowledge and understanding of payor Explanation of Benefits (EOB)
• Requires strong problem-solving skills, attention to detail, and ability to make timely decisions
• Intermediate computer skills and familiarity with Microsoft Office, especially Excel
• Ability to drive results, review/improve processes, and manage change
• Excellent internal and external customer service skillsResponsiveness and a strong commitment to meeting internal and external deadlines with limited supervision
• Strong written and verbal communication skills and interpersonal skills
• Strong quantitative, analytical, and problem-solving skill

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 at www.AtaMomentsNotice.com.

GMR’s Core Behaviors

keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.

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.