Medical Biller/Claims Processing - Patient Support Representative - Remote

Job Responsibilities

Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected.

Exceptional organizational skills are required. May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center.

Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary.

Able to work 40 hours per week (shift available: 10:00am - 7:00pm ET) under moderate supervision.

Requirements

High School Diploma or equivalent.

Experience in claim processing required.

Coding Certification required.

Ability to interpret Explanation of Benefits (EOB).

HIPPA certified.

Customer Service Experience preferred.

Pharmacy Technician experience preferred.

Bi-lingual (English/Spanish) preferred.

Qualifications

To be eligible for this position, you must reside in the same country where the job is located.

Skills

Exceptional organizational skills.

Ability to recognize operational challenges and suggest recommendations to management.

Ability to work 40 hours per week (shift available: 10:00am - 7:00pm ET) under moderate supervision.

Benefits

The potential base pay range for this role is $23.00 per hour.

Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.