Overview
Full-time position (40 hours/week), Monday through Friday from 8:00 AM to 4:30 PM. This is a remote role, with preference given to candidates living within commutable distance of Akron, Ohio.
Responsibilities
- Resolve unpaid insurance accounts by contacting insurance companies through various communication methods to solicit payment for patient encounters.
- Develop and maintain positive relationships with payer representatives to ensure timely collection of accounts.
- Investigate pended claims to identify reasons for delays and resolve issues causing claim pendency.
- Identify and address trends in pended claims, including filing appeals for untimely submissions and resolving provider credentialing problems.
- Accurately post resolutions to accounts, including updating insurance billing and correcting and reposting claims as necessary.
- Establish and maintain provider manuals for assigned insurance carriers and their plans.
- Monitor physician enrollment status to ensure compliance with timely filing requirements.
- Perform other duties as required.
Requirements
- Experience processing and billing physician claims is required.
- Technical knowledge of billing and collections, including CPT and ICD coding, payer remittance coding/process, and outcomes analysis/reporting.
- Experience collaborating with management team members and clinic staff.
- Proficiency in managing CMS formatted claims.
- Proficiency with Microsoft Office applications (Outlook, Excel, Word).
- Epic system experience is preferred.
- High school diploma or equivalent required; Bachelor's degree preferred.
- Medical Billing Certificate preferred.
- Minimum of 1 year relevant experience required; 5 years preferred.
- No supervisory experience required.
Compensation & Benefits
- Full-time employment (FTE: 1.0)
Location
- Remote position with preference for candidates within commuting distance of Akron, Ohio.
- Work hours Monday through Friday, 8:00 AM to 4:30 PM.