Revenue Cycle Medical Billing Medicaid Workers' Comp Follow Up Specialist

Medical Billing - Revenue Cycle - Medicaid/Workers' Comp Appeal Follow-Up Specialist

Location: Remote or On-Site

Hourly Pay: $18

This position is bonus eligible

Full-Time 40 hrs/wk

Work Schedule: Training Mo-Fr, 8am-5pm CDT, Post Training Flex Mo-Fr 7am-7pm CDT

JOB SUMMARY

The Medical Billing - Revenue Cycle - Medicaid/Workers' Compensation Appeal Follow Up Specialist will follow-up on appeal status with traditional Medicaid, MCOs, and Workers' Compensation payors in a timely manner to achieve maximum reimbursement on zero and underpaid claims.

ESSENTIAL FUNCTIONS/DUTIES

• Conduct online and phone follow-up on pending appeal responses.
• Process all payor responses received from submitted appeals.
• Handle inbound/outbound call center calls for payors and patients/guarantors.
• Meet daily and monthly departmental production goals setIdentify, document, and communicate trends in recurring denials.
• Recommend process improvements or system edits to eliminate future denials or delays in reimbursement.
• Document all account, accurately and timely, for all touches made on any patient account.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum three (3) years' experience in medical billing and healthcare revenue cycle environment
• Above average knowledge of various Medicaid and Workers' Compensation payor billing guidelines
• Ability to interpret remittance advices/explanation of benefits
• Minimum of one (1) year in a call center environment
• Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience:

• Appeal writer experience
• Proficient in Word, Excel, Office 365

Preferred Education:

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at www.GlobalMedicalResponse.com/Careers.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our comprehensive benefit options, which include medical, vision, dental, 401k, disability, FSA, HSA, EAP, vacation and paid time off.