A/R Billing Specialist

SunMED Medical is looking for a self-motivated individual to join our team as a full-time remote AR/Billing Specialist.

Responsibilities

• Contact insurance company regarding outstanding balances
• Determines denial reason and send in appeals/redeterminations
• Rebill insurance companies or other third parties to secure payment for patients
• Process insurance payments to patient accounts in Brightree
• Run Aging report for follow up denials/or claims not worked
• Create and mail insurance claims and patient statements, if necessary
• Verify all entries made by front end and makes corrections, if necessary
• Make recommendations to management for write-offs
• Reach out to ordering physicians for required documentation
• Other duties as assigned

Qualifications

• Experience with all the above responsibilities
• Prior audit experience
• Insurance verification experience, and payor knowledge for Medicare and Commercial insurances
• Working knowledge of durable medical equipment as it applies to the above
• Brightree experience is a plus
• Excellent time management skills with strong attention to detail
• Computer proficiency, along with the ability to type
• Superior/excellent computer skills using remote access and a computer network, which includes thorough knowledge of Outlook and more than a basic familiarity with Excel.
• The ability and acumen to understand software platforms and how to use them effectively. Eventual complete knowledge of these platforms is essential to be effective in this position. Platforms: Outlook, Teams, Excel

Further consideration on compensation possible based on experience.

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical billing: 1 year (Preferred)
• DME: 1 year (Preferred)
• Brightree software: 1 year (Preferred)

Work Location: Remote