Revenue Cycle Specialist
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.
Hourly rate: $21/hour
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.
- 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.
- Health Care Plan (Medical, Dental & Vision)
- Paid Time Off (Vacation & Public Holidays)
- Short Term & Long Term Disability
- Retirement Plan (401k)
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MedScope, a division of Medical Guardian, is on the hunt for a talented Revenue Cycle Specialist to join our dynamic Billing Department. If you're someone with a knack for health insurance claims and a passion for making a difference in the medical alarm industry, this opportunity might be perfect for you! In this fully remote position, you'll be responsible for managing our customized system to send out monthly claims and invoices, while also handling payments and responding to any denials. Your analytical skills will come in handy as you perform audits and dive deep into understanding the reasons behind non-paid invoices or claims. We need someone who can think critically and work with precision to resolve issues with denied payments, ensuring everything function smoothly in our billing process. The ideal candidate will thrive working independently but also appreciate the importance of teamwork. With a structured schedule from 9:00 AM to 5:00 PM EST, we’re looking for a reliable professional based in PA, DE, GA, MI, NC, TX, NJ, or FL. You'll enjoy a competitive hourly rate of $21 and the added perks of healthcare benefits, paid time off, and a retirement plan. If you’re a dedicated individual with excellent communication skills and a friendly phone demeanor, we want to hear from you!
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An industry-leading provider of affordable and reliable medical alert systems, Medical Guardian empowers our customers to live a life without limits.
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