Revenue Cycle Medical Billing - Specialty Billing-Float - Located in West Plains, MO

Job Summary

The Medical Billing – Revenue Cycle - Specialty Biller works within the Shared Services team to bill specialty transports and collect appropriate reimbursement.

Essential Functions/Duties

• Verify eligibility and benefits via payor portals and/or phone calls.
• Prep and file claims according to payor requirements.
• Follow-up on claims to ensure timely processing.
• Review Explanation of Benefits (EOBs) to verify appropriate reimbursement issued.
• Appeal denied or incorrectly paid claims for appropriate reimbursement.
• Process incoming correspondence from payors, patients, and facilities.
• Maintain quality and productivity metrics based on department goals.

Qualifications

• Required: Experience: Must be fluent in English, Minimum 1 year of call center experience, Minimum 1 year of medical billing experience, Proficient in Microsoft Office, including Outlook, Word, and Excel, Knowledge and experience of computers and related technology, at an intermediate level, Experience reading and interpreting EOBs.
• Preferred: Experience billing air ambulance transports, Experience with a wide variety of payors preferred, including Medicare, Medicaid, Veterans Affairs, and Commercial payors, Experience with Respond Billing / Sweet billing system, Experience with Payor Logic software.
• Education: High school diploma/GED or significant, relevant work experience.