Medical Biller - Ar/Denial Specialist

Do you thrive in a fast-paced and innovative environment?

At PE GI Solutions, we foster an environment of contribution, creativity and risk-taking. We strive to unleash the potential in everyone and cultivate a highly engaged, motivated, and committed organization!

What makes us awesome:

Perks and Benefits

• Paid Time Off including: Vacation, Sick Time, Holidays, Birthday, Bereavement, Jury, and Voting
• High quality, Cost effective Medical, Dental, Vison, and Prescription coverages. Including multiple plan options and flexible spending accounts.
• Life Insurance, AD&D, LTD and Supplemental Insurances
• A 401K Retirement Plan with a generous company match
• Tuition Reimbursement
• Annual Discretionary Bonus Program
• Employee Referral Program
• Pet Insurance

We are searching for a dynamic Medical Biller - AR/Denials Specialist to join our Team!

What you will be working on:

• Provide accounts receivables follow-up functions for assigned Centers/Practices.
• Researching and resolving claim denials via electronic portals
• Researching and resolving claim denials via paper payor responses
• Researching and resolving claim denials received in lockbox
• Researching and resolving outstanding balances with no response from the payor via billing system work queues and A/R reports
• Document all follow-up efforts in billing system for clear and concise identification of any identified issues and steps taken to resolve said issues
• Serve as point of contact with Center/Practice front office staff for revenue cycle related questions/issues
• Serve as point of contact with PE Call Center for revenue cycle related questions/issues
• Perform month end closing procedure within established timeframe.
• Communicate with Lead and/or Supervisor/Manager regarding payor and account issues in a timely manner.
• Manage automated phone call process for Centers/Practices on a monthly basis
• Manage patient collections turnover process for Centers/Practices on a monthly basis
• Provide assistance in completed RCM Coordinator tasks when necessary
• Any other tasks as assigned

What will make you awesome:

• Excellent written and verbal communication skills
• Excellent computer skills including Excel, Word, and RCM systems as needed.
• Highly organized, detail-orientated, a strong work ethic, and demonstrated teamwork skills.
• Ability to multi-task and meet deadlines.

What you know:

To be successful in this role you will have the following experience or knowledge:

• High school diploma or equivalent
• Previous Healthcare billing and/or Healthcare accounts receivable work experience
• A successful applicant must be legally authorized to work in the United States without sponsorship.

Have you read over the job ad and are feeling like you didn’t check every box, but still have interest in the role? That’s okay! If you think you have what it takes, but don’t necessarily meet all the requirements, please apply. You may be exactly what we are looking for!

Diversity and Inclusion

We value diversity! PE GI Solutions provides equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We carry this policy through all stages of the employment process including recruiting, hiring, placement, promotion, termination, layoff, recall, leaves of absence, compensation, and training.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Are you legally authorized to work in the United States without sponsorship nor visa?

Experience:

• denials: 1 year (Required)
• follow-up/appeals: 1 year (Required)
• MEDICAL accounts receivable: 1 year (Required)

Work Location: Remote