Revenue Cycle Medical Billing Claim Status Medicaid EOB Review - Located in West Plains, MO

Located in West Plains, MO. This position is remote or on-site in the United States.

About the role

Revenue Cycle Medical Billing - Claim Status Medicaid EOB Review position is responsible for timely follow-up of payments and denials on claims filed to traditional Medicaid and Medicaid Managed Care plans along with accurate documentation of the actions taken.

Responsibilities

• Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals.
• Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals.
• Review and analyze claim denials to determine if an appeal is necessary for reimbursement.
• Identify, document, and communicate trends in recurring denials. Recommend process improvements or system edits to eliminate future denials.
• Review system generated work list and aged reports to resolve accounts which have not been paid.
• Review payment denials and discrepancies identified through explanation of benefits, remittance advices, or payor correspondence and take appropriate action.
• Document all account activity in an accurate and timely manner.

Requirements

• Must be fluent in English
• Minimum of 1 year, full-time, medical billing experience
• Minimum of 50 words per minute (typing)
• Ability to work independently or as an active member of a team
• Communicate clearly and concisely, both orally and in writing
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level
• Ability to use independent judgment and to manage and impart confidential information

Qualifications

Preferred Experience:

• Minimum of 6 months of work in a call center environment
• Minimum of 6 months of customer service experience
• Ability to calculate numbers, correct entries, and post to records

Preferred Education:

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

Pay

Hourly compensation: $17.50 (this position is bonus eligible).

Schedule

Training Schedule: Monday – Friday, 8:00 AM – 5:00 PM Central

Work Schedule: Monday – Friday, 7:00 AM – 7:00 PM Central, 8 hours/day, 40 hours/week

Benefits

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 emergency and patient relocation services. Check out our careers site benefits page to learn more about our benefit options.