Revenue Cycle Medical Billing IDR Claim Status Representative

Revenue Cycle Medical Billing - IDR Claim Status Representative

Location: Remote or On-Site

Hourly Pay: $19

(this position is bonus eligible)

Work Schedule: Full-Time

The Revenue Cycle Medical Billing IDR Claim Status Representative must have experience working with one or multiple payor sources, such as Commercial and Blue Cross/ Blue Shield insurances. The successful candidate will have effective communication skills.

Essential Functions/Duties

* Verifies the status of claims that have been billed to insurance on a timely basis according to productivity guidelines.

* Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.

* Meets daily and monthly departmental production goals set forth by the Supervisor to ensure that the company is achieving its financial goals.

* Identifies, documents, and communicates trends in recurring rejections and denials to Supervisor.

* Recommends process improvements or system edits to eliminate future denials.

* Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.

* Documents all account activity in an accurate and timely manner for all touches made on any patient account.

* Contacts patients for additional information when necessary to push the claim through for payment.

* Submits requested additional information/documentation at payor request for claims to process accordingly.

Qualifications:

Required Experience

* Must be fluent in English

* Minimum of one (1) year of medical billing experience

* Professional written and verbal communication skills

* Knowledge and experience of computers and related technology

* Ability to work independently with little or no direction and as a member of a team

Preferred Experience

* Minimum of one (1) year working in a call center environment

* Above average knowledge of health care billing procedures, reimbursements, and third-party payor standards.

* Understanding and interpretation of Explanation of Benefits (EOB) from payors

* Experience with Commercial Insurance processes and policies is a plus

Preferred Education

* High School Diploma, GED, or significant relevant work experience