Remote Medical Billing Specialist- Podiatry and Wound Care

AmerimaxRCM is a third party billing company who contracts with private provider’s offices to perform their entire revenue cycle. JOB DESCRIPTION POSITION TITLE: Medical Billing and Coding Specialist LOCATION: 100% Remote EDUCATION: Certified Medical Billing/Coding preferred WORK EXPERIENCE: 2-4 year experience with medical billing/coding preferred SALARY RANGE: $17 - $22/ hour DOE and Certifications POSITION TYPE: Full-time 40 hours per week JOB SUMMARY: • This position focuses mostly on a medical clinic that does Wound Care and Podiatry, candidates with specific experience are being prioritized. • The medical billing and coding specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims. MAJOR DUTIES & RESPONSIBILITIES: • Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication; • Responsible for correcting, completing, and processing claims for all payer codes; • Analyze and interpret that claims are accurately sent to insurance companies; • Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports; • Process appeals online or via paper submission; • Posting and reconciling deposits and patient collections; • Sending patient statements; • Process refund requests; • Communicate with billing and credentialing to identify and resolve any issues; • Process billing calls and questions from patients and third party carriers; • Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, clients, etc.; • Communicate daily with internal and external customers via phone calls and written communications; • Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor; • Research, record findings, and communicates effectively with Manager to achieve optimum performance; • Pursue and participate in education to remain current with changes in the Healthcare industry; • Maintain patient confidence and protects medical office operations by keeping patient information confidential; • Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives; • Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment; • Attend virtual training and meetings as needed. • Perform other duties as assigned to support Amerimax RCMs goal of providing excellence Revenue Cycle Management. QUALIFICATION REQUIREMENTS: • Minimum of two years of related medical billing and coding experience • Previous experience in a remote billing office setting and/or experience with an Electronic Medical Record a plus, CGM experience preferred; • Customer service driven; • Understanding of medical terminology and insurance laws/guidelines; • Excellent organization and time management skills along with excellent oral and written communication skills; • Strong team player; • Ability to learn quickly, build and maintain long term relationships and work with minimal supervision; • Strong written and verbal communication skills; strong analytical, organizational and time management skills required. • Experience in Google Workspace/GSUITE preferred- Drive, Docs, Sheets, etc. (Google’s version of Microsoft Office) TRAVEL REQUIREMENTS: • None. LANGUAGE SKILLS: • Ability to read, analyze, and interpret general health and social services guidelines, technical procedures or governmental regulations. Ability to write reports, health correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups or patients, center staff, and the general public. MATHEMATICAL SKILLS: • Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent. REASONING ABILITY: • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. OTHER SKILLS and ABILITIES: • Must be able to stay disciplined while working remotely. • Must be able to do minor technical problem solving for computer, printer, and phones, there will be no physical technical support. LEADERSHIP RESPONSIBILITIES: • No supervisory or direct people management responsibilities. May provide occasional work guidance, technical advice, and training staff. COMMUNICATION/INTERACTIONS: • Information sharing - gives and receives information such as options, technical direction, instructions and reporting results. Interactions are mostly with customers, patients, own supervisor and coworkers in own and other departments. CUSTOMER RELATIONSHIPS: • Follow through with customer inquiries, requests and complaints. Forward difficult and nonroutine inquiries or requests to appropriate level for resolution. PHYSICAL DEMANDS OF JOB: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear, stoop, kneel, and use hands and fingers to operate a computer and telephone keyboard reach; • Specific vision abilities required by this job include close vision requirements due to computer work; • Ability to uphold the stress of assisting patients of diverse backgrounds; • Regular, predictable attendance is required; • Must have the ability to lift up to 25 lbs BENEFITS: • Employee Health Insurance Premium paid 50% BCBS Plan • Dental and Vision Offered • Life Insurance Offered • 10 Days PTO accrual per year • Most physical equipment provided-computer, printer, monitors, shredder, etc. • AmerimaxRCM 7 Observed Holidays (Should they fall on a business day): • New Year’s Day, Memorial Day, Independence Day, Labor Dar, Thanksgiving, Christmas Eve and Day, Birthday. Company DescriptionAmerimaxRCM is a fully remote third party medical billing company who contracts with private provider’s offices to perform their entire revenue cycle. Apply tot his job Apply To this Job