Overview
This is a full-time, national remote position based in the U.S., offering the flexibility to telecommute from anywhere within the country. The role involves working Monday through Friday with 8-hour shifts scheduled between 8:00 AM and 5:00 PM. Occasional overtime may be required based on business needs. Training hours will be during normal business hours.
Responsibilities
- Contact insurance providers to identify reasons for payment delinquency, claim errors, and delays
- Negotiate and advise on collection of overdue or incorrect claims and take appropriate action to recover payments
- Handle unresolved billing or collection inquiries and issues
- Adhere to accounts receivable and collection practices, policies, and procedures
- Collaborate with outside legal counsel or agencies for complex collection cases when necessary
- Perform basic tasks independently without review
- Understand hospital or patient accounting department functions, operations, and procedures
- Apply medical terminology, procedure, and diagnosis coding knowledge to assess patient account accuracy
- Understand covered insurance benefits, billing requirements, and procedures for third-party payers and government programs
- Utilize knowledge of UB04/1550 claim forms for Medicare, Medicaid, Medi-Cal, and other government payer programs
- Operate online computerized patient accounting and electronic billing systems
- Apply understanding of HCPCS/CPT and ICD10 coding, Medicare guidelines, and rules
- Maintain knowledge of payer contracts, insurance policies, and benefit coverage
Required Qualifications
- High School Diploma or GED
- Must be 18 years of age or older
- Minimum 1 year of experience in hospital or facility collections
- Minimum 1 year of experience in commercial claim and Medicare collections
- Experience working with insurance companies to verify denied claims and ensure timely payment
- Proficiency with Microsoft Office tools including Word (memo creation), Excel (report management), and Outlook (calendar and email)
- Ability to work full-time Monday through Friday with flexibility to work any 8-hour shift between 8:00 AM and 5:00 PM; occasional overtime may be required
Preferred Qualifications
- Experience with EPIC and/or Direct Data Entry (DDE)
- Experience in a healthcare revenue cycle role
Telecommuting Requirements
- Ability to keep all company sensitive documents secure
- Dedicated work area separated from living spaces to ensure information privacy
- Residence must have access to a high-speed internet connection approved by the employer or an existing high-speed internet service
- Compliance with the organization's Telecommuter Policy
Compensation & Benefits
- Hourly pay ranges from $17.98 to $32.12 based on factors such as local labor markets, education, work experience, and certifications
- Comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401(k) contributions (subject to eligibility)
Location
- Remote within the United States
Note: This position requires passing a drug test prior to employment. The employer is an Equal Employment Opportunity employer and complies with all applicable laws regarding nondiscrimination.