AddressDate: Mar 4, 2024
Location: Remote, Remote, US
Requisition ID: 5246
Description:
GENERAL SUMMARY:
The goal of the Bilingual Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.
Foundation Knowledge, Skills, and/or Abilities Required: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Duties and Responsibilities:
- Spanish Bilingual
- File claims using all appropriate forms and attachments
- Handle Outbound calls and Maneuver between several different software systems
- Research account denials and file written appeals, when necessary.
- Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.
- Ensure the integrity of each claim that is billed.
- Document in detail all efforts in CUBS system and any other computer system necessary.
- Verify patient information and benefits.
Additional Duties and Responsibilities:
- Meet specified goals and objectives as assigned by management.
- Maintain good working relationships with state and Federal agencies.
- Resolve accounts in a timely manner.
- Always maintain confidentiality of account information.
- Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
- Maintain awareness of and actively participate in the Corporate Compliance Program.
- Maintain a confidential and orderly remote work area.
- Assist with other projects as assigned by management.
Educational/Vocational/Previous Experience Recommendations:
- High school diploma or equivalent is required.
- Formal training in the specialty of Insurance Billing preferred.
- Knowledge of all insurance payers preferred.
- Ability to effectively work and communicate with patients, co-workers, and management both in person and remote virtual chat environments
- Ability to always present oneself in a courteous and professional manner
- Ability to stay on task with little or no management supervision
- Demonstrate initiative and creativity in fulfilling job responsibilities
- Capacity to prioritize multiple tasks using time management and organizational skills.
- Proficient PC knowledge and the ability to type 30-40 wpm.
Working Conditions:
- Remote work from home office, virtual Call Center environment.
- Must be able to sit for extended periods of time.
