Revenue Cycle Medical Billing Claim Status Patient Engagement - Medicaid/Workers' Compensation

Revenue Cycle Medical Billing Claim Status Patient Engagement - Medicaid/Workers' Compensation

Location: Remote or On-Site

Hourly Pay: $17.50

(this position is bonus eligible)

Schedule: Full-Time

JOB SUMMARY

The Revenue Cycle Medical Billing Claim Status Patient Engagement position for the Medicaid and Workers' Comp team resolves coordination of benefits and additional information requests from the payor by engaging the patient/guarantor to supply the required information to the payor in a timely manner.

ESSENTIAL FUNCTIONS/DUTIES

• Conducts online and phone follow-up on open coordination of benefits and additional information requests for Medicaid and Worker's Compensation classified payors.
• Handles inbound/outbound call center calls for payors and patients/guarantors.
• Conducts conference calls with the patient/guarantor and payor to resolve delayed claims.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum three (3) years of experience in healthcare/revenue cycle billing environment
• Minimum of one (1) year in a call center environment

• Above average knowledge of various Medicaid and Worker's Compensation payor billing guidelines
• Ability to interpret remittance advice notices/explanation of benefits
• Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience:

• Experience with post bill follow up for Medicaid and Workers' Compensation payors
• Proficient in Word, Excel, Office 365

Education:

• High school diploma
• GED

• Or significant, relevant work experience

Skills:

• Ability to define and identify problems, collect data, establish facts, and draw valid conclusions
• Ability to respond to inquiries or complaints from customers in a positive and productive manner
• Ability to calculate numbers, correct entries, and post to records
• Ability to gather data, compile information, and prepare reports
• Ability to use independent judgment and to manage and impart confidential information
• Ability to prepare routine administration