Job Description
Join the GBS RevCycle - Odyssey Health Systems Team and be a valuable member in the world of medical billing!
At GBS RevCycle, we're transforming healthcare with our comprehensive Revenue Cycle Management (RCM) solution. We're on the lookout for dedicated individuals to join our team as Medical Billing A/R Specialists for both Professional and Facility charges. With a host of enticing benefits, this is your opportunity to grow in a dynamic and ever-expanding field.
Location: Fully Remote (Candidates living within a reasonable distance of our Fairlawn, OH office will not be considered for fully remote work). Candidates may reside in Ohio, Pennsylvania, Georgia, Florida, South Carolina, Texas, or Massachusetts.
Full-Time Benefits : We care about your well-being. Our benefits include Medical, Dental, Vision, Accident, Disability Insurance, PTO, Holidays, Wellness plans, Profit Sharing, 401(k), and more.
Are You Ready for an Exciting Medical Billing Career?
GBS RevCycle is at the forefront of the industry, and we're growing rapidly. Join us if you're motivated, ambitious, and ready to make a difference!
Position Summary: As a Medical Billing A/R Specialist, you'll play a critical role in ensuring the smooth processing of claims and billed charges. Your responsibilities include navigating payer and clearinghouse websites, utilizing excellent communication skills during phone interactions, and striving for one-touch resolution. Understanding the unique requirements of each payer and staying within time limits for claim and appeal submissions are crucial aspects of this role. Additionally, you'll need to comprehend explanation of benefits from various carriers and identify trends for efficient management.
Key Responsibilities: The ideal candidate will efficiently manage daily AR reports, ensuring accuracy and timeliness. They will engage in effective follow-up via phone calls or website navigation with insurance carriers or patients to resolve unpaid claims. Proficiency in navigating insurance websites and gathering crucial information is key.
This role requires expertise in verifying insurance eligibility, benefits, and obtaining necessary LCDs/Carrier Policies. A solid understanding of managed care authorizations and coverage limits, particularly within various specialties, is essential. Additionally, responsibilities include researching credit balances, preparing refunds under Supervisor approval, and promptly addressing customer inquiries and correspondence requests.
A successful candidate will conduct a weekly review of rejected claims, identifying and resolving issues promptly. They will recognize and escalate trends in claim submissions and deadlines to ensure prompt resolutions. Reporting hindrances in payment/adjudication from insurance companies to the AR Team Lead is crucial.
Qualifications: High School Graduate or equivalent, with a minimum of 1-2 years of AR Follow-Up experience preferred. In-depth knowledge of insurance and reimbursement processes, familiarity with medical terminology, exceptional communication, and time management skills are necessary. Proficiency in basic computer applications (word processing, Excel). Adaptability to changing work environments, detail orientation, and exceptional multitasking abilities are also required. Maintaining confidentiality within a HIPAA-secure environment is of utmost importance.
Work Environment: This role operates in a standard office environment, requiring extended periods of sitting, computer usage, and calculator operation. Mobility is necessary to access files, occasionally involving bending, stooping, walking, and lifting. Flexibility to work extended hours, particularly at month-end, is expected.
Equal Opportunity Employer: GBS RevCycle is proud to be an equal opportunity employer. We believe in building a diverse and inclusive workforce. We do not discriminate based on race, religion, color, national origin, disability, gender, gender identity, age, sexual orientation, veteran or military status, or any other legally protected characteristics. We also provide reasonable accommodations for candidates with disabilities who may need assistance during the hiring process.
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