IMMEDIATE HIRE! 4 openings, full time remote work from home, $20/hr

Are you looking for a new opportunity with an established, reputable, fast-growing organization supporting the medical community? Do you want to work for a company that has innovative business strategies and makes a positive impact on society? We are focused on developing evidence-driven diagnostic tests to improve physicians’ ability to optimize patient outcomes related to the coronavirus and others.  

Position Summary:

This position will perform appeals and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) responsible for processing independent laboratory claims and Patient Billing. 

Responsibilities:

• • Research, resolve and respond to inquiries and correspondence via telephone, written communication and/or in person. Inquiries will be from members, providers, group leaders and internal staff regarding a diverse range of topics including, but not limited to, contract benefits, changes in coverage, eligibility, claims, provider networks, payments and appeals.
  • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification.
  • Review/update demographics and patient information for accuracy.
  • Investigate all denied services to determine the reason for the service denial, appeal, if appropriate.
  • Review and work various reports including aging, adjustments and credit balances.
  • Comply with Federal and State legislation pertaining to all billing related matters.

• • Must be able to communicate effectively with appropriate tone and content. Customer Service calls are recorded to ensure accuracy and to provide a tool for feedback for reps.
  • Must demonstrate the ability to listen, talk, type and perform research simultaneously using various research channels, both online and hard copy.
  • Must remain positive, pleasant, and helpful under a wide variety of circumstances including angry customers.
  • Communication by telephone will consume 75% of the workday.
  • Other duties assigned.
  • Must have a high School diploma and a minimum of two years related administrative experience or a Bachelor’s degree from a four-year college or university; or equivalent combination of education and experience
  • Working knowledge of appropriate coding systems; CPT, ICD-9 and HCPCS, coverage; lCD/NCD and reimbursement associated with such codes preferred. Proficient in Microsoft Outlook, Excel, Word
  • Training is available!

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