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

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

Location: Remote or On-Site, United States

Hourly Pay: $18

(this position is bonus eligible)

Full-Time 40 hrs/wk

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

JOB SUMMARY

The Revenue Cycle Medical Billing Appeal – Medicaid/Workers’ Comp Follow-Up Specialist will follow-up on appeal status with traditional Medicaid, Medicaid MCO, and Workers’ Comp 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 set.
• Identify, 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.

GMR’s Core Behaviors—keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.

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.