Reimbursement Specialist/Medical Biller - Patient Support Call Center - Remote (Short-term Contract)

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Job Overview

The Reimbursement Specialist/Medical Biller plays a critical role in the Patient Support Call Center, primarily focused on managing billing inquiries, insurance claims processing, and providing exemplary support to patients regarding their reimbursement-related queries. This position requires a detail-oriented professional capable of navigating complex billing systems and collaborating with insurance companies and healthcare providers to ensure timely and accurate reimbursement. As a remote contract position, the specialist will be expected to consistently meet the high standards of accuracy and professionalism required in the healthcare industry.

Job Responsibilities

• Process and submit healthcare claims to insurance companies accurately and in a timely manner.
• Review and appeal denied claims while maintaining consistent communication with patients for updates and resolutions.
• Provide exceptional customer service by addressing patient inquiries related to billing and reimbursement.
• Verify patient insurance information and eligibility prior to service delivery.
• Maintain comprehensive documentation of billing activities and decisions to ensure clarity and reference.
• Collaborate with healthcare providers to gather necessary documentation for claim approvals.
• Stay updated on coding and billing regulations to ensure compliance with healthcare laws and policies.

Qualifications

• High school diploma or equivalent; an associate's degree in medical billing, coding, or a related field is preferred.
• Minimum of 2 years of experience in medical billing, reimbursement, or healthcare administration.
• Proficient in medical billing software and electronic health record systems.
• Strong understanding of insurance policies, coding guidelines, and reimbursement protocols.
• Excellent verbal and written communication skills, with a focus on patient interaction.
• Ability to work independently in a remote environment and manage multiple tasks effectively.
• Attention to detail and problem-solving skills to handle complex billing inquiries.

Technologies & Tools

The Reimbursement Specialist/Medical Biller will utilize various technologies and tools to fulfill their responsibilities effectively. This includes medical billing software such as MediSoft or AdvancedMD, electronic health record (EHR) systems like Epic or Cerner, as well as Microsoft Office Suite for documentation and communication purposes. Familiarity with medical coding systems like ICD-10, CPT, and HCPCS is also essential for accurate claim submission and billing practices.

Ideal Candidates

Ideal candidates for the Reimbursement Specialist/Medical Biller position possess a combination of technical expertise and interpersonal skills. They are detail-oriented, organized, and capable of managing high-pressure situations with professionalism. A proactive approach to problem-solving, coupled with an empathetic attitude towards patient concerns, is crucial. Successful candidates demonstrate resilience in navigating the complexities of healthcare reimbursement processes and are committed to continual learning and improvement in the ever-evolving field of medical billing.