MedScope, a division of Medical Guardian is a rising leader in the medical alarm industry, seeks a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a role in the Billing Department. In this role, you will use our customized system in tandem with other applications to send recurring monthly claims and invoices, receive payments, and respond to denials of payment with the goal of resubmitting for payment. You will also perform monthly/quarterly payment audits, analyze the reasons for denied payments or returned claims, and work toward resolution. Ability to analyze data and think critically a must.
This is a full-time, remote position requiring a daily schedule of 9:00am-5:00pm EST.
Permanent residency in one of the following states is required: PA, DE, GA, MI, NC, TX, NJ, and FL only.
Key Duties and Responsibilities:
Monthly submission of invoices/claims, electronic and on paper, in large and small batches
Payment application through our customized system
Review and examination of non-paid invoices/claims, to work through the denial resolution process for resubmission or other appropriate resolution
Month end reporting and analysis of accounts, large and small, including deciphering the reason(s) for invoices that are open and unpaid after aging for 90 days
Audit accounts for payment and analyze the reason(s) that payment has been denied
Phone work as needed, including customer interactions and receiving payments over the phone via credit card
Requirements
Proficiency in the Microsoft Office suite of applications required
Strong analytical and mathematical skills
Intelligent individual with excellent oral and written communication skills
Critical thinking - ability to decipher when things are missing or incorrect
Accurate and organized with the ability to multitask
Friendly phone demeanor - will be in direct contact with customers and referring sources
Must be able to work both independently and collaboratively on a small team, and be accustomed to working with deadlines
Punctual and reliable with a professional appearance and demeanor
Desired Experience:
Associate or bachelor's degree (preferred) in healthcare or a related field; high school diploma required
1+ years of previous revenue experience
Billing/coding certification preferred
Coursework or experience with medical billing, 1500 claim forms, service authorizations, or previous experience with billing in a medical office
Experience with Medicaid and Managed Care Organization a plus
Benefits
Health Care Plan (Medical, Dental & Vision)
Paid Time Off (Vacation & Public Holidays)
Short Term & Long Term Disability
Retirement Plan (401k)
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Non-profit Organizations and Primary and Secondary Education
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