Medical Billing/AR Specialist - Remote

Do you have a background in medical collections, insurance follow-up, and revenue cycle management? Are you familiar with managed care contracts, contract language, and federal and state requirements? Interested in an opportunity that will allow you to work from the comfort of your own home?

Join us.

Sutherland is seeking analytical, detail-oriented individuals with strong communication skills to join us as Medical Billing/AR Specialists on a temporary basis (6 months temp-to-perm). These are work from home positions, but all training will take place on-site in Clifton, NJ. Initial training will take 3-4 weeks.

These jobs pay $25/hour.

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. This will include:

• Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online
• Providing ongoing appropriate collection activity on appeals
• Requesting additional information from Patients, Medical Records, and others as needed
• Communicating with insurance plans and researching health plans for benefits and types of coverage
• Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
• Handling other duties as assigned

• Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies
• Full understanding of Managed Care collections
• Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
• Knowledge of Managed Care contracts, Contract Language and Federal and State requirements
• Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
• Medical claims and/or hospital collections experience
• Minimum high school education, technical training, and/or other related experience

We will supply equipment, but to work from home, you must have:

• Excellent Internet connectivity:
  • Internet access speeds of at least 5 Mbps upload and 30 Mbps download – the faster the better!
  • In-house network, and a hard-wired Internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (wireless and/or satellite Internet Service Providers are not compatible with our systems)
• A quiet and distraction-free, secure place to work.

IMPORTANT NOTE:This job is open only to residents of the United States, and you must be authorized to work in the US in order to be considered for employment.

About Us

At Sutherland, named a Great Place to Work, we care for our customers’ customers and help to strengthen their brands. We do this by improving how they work with their customers to deliver an extraordinary customer experience. In other words, behind every screen, click or command are the people of Sutherland. In business for over 35 years, we are now nearly 40,000 employees strong and work with hundreds of companies in over 100 countries around the globe.

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