Revenue Cycle Medical Billing Appeal Medicaid/Workers' Comp Follow-Up Specialist - Located in West Plains, MO

Location: Remote or On-Site, United States

Pay

$18/hour (bonus eligible)

Schedule

• Full-Time, 40 hours per week
• Training: Monday–Friday, 8:00 AM–5:00 PM Central
• Post-Training: Flexible Monday–Friday, 7:00 AM–7:00 PM Central

About the role

The Revenue Cycle Medical Billing Appeal – Medicaid/Workers’ Comp Follow-Up Specialist will follow-up on appeal status with traditional Medicaid, Medicaid MCO, and Workers’ Comp payors in a timely manner to achieve maximum reimbursement on zero and underpaid claims.

Responsibilities

• Conduct online and phone follow-up on pending appeal responses.
• Process all payor responses received from submitted appeals.
• Handle inbound/outbound call center calls for payors and patients/guarantors.
• Meet daily and monthly departmental production goals.
• Identify, document, and communicate trends in recurring denials.
• Recommend process improvements or system edits to eliminate future denials or delays in reimbursement.
• Document all account activity accurately and timely for all touches made on any patient account.

Requirements

• Must be fluent in English
• Minimum three (3) years’ experience in medical billing and healthcare revenue cycle environment
• Above average knowledge of various Medicaid and Workers’ Compensation payor billing guidelines
• Ability to interpret remittance advices/explanation of benefits
• Minimum of one (1) year in a call center environment
• Knowledge and experience of computers and related technology, at an intermediate level

Qualifications

Preferred Experience

• Appeal writer experience
• Proficient in Word, Excel, Office 365

Preferred Education

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

Benefits

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.

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