Medical Billing and Accounts Receivable Specialist

🔥 0 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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I Am Boundless, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1980

🤝 Non-profit

Healthcare • Non-profit • Behavioral Health

I Am Boundless, Inc. is a nonprofit organization that provides comprehensive, person-centered healthcare and support services for individuals with intellectual and developmental disabilities (I/DD) and behavioral health challenges. With over forty years of experience, Boundless offers primary care, dental care, behavioral health services, and vocational training to foster the potential of the people they serve. Their holistic approach includes tailored services like after-school programs and residential support, aiming to promote wellness and empowerment in a compassionate environment.

📋 Description

• Responsible for accurately processing patient billing, managing insurance claims, and ensuring timely reimbursement. • Duties include reviewing medical records, coding procedures, and collaborating with healthcare providers and insurance companies to resolve discrepancies. • Strong attention to detail, knowledge of medical terminology, and proficiency in billing software are essential for success in this role. • Verify insurance benefits and confirm patient eligibility. • Obtain prior authorization for services as required. • Review clinician entered charges entered for accuracy before generating claims. • Prepare and submit claim files. • Post insurance and clients payments accurately and in a timely manner. • Analyze and address ERA/EOB denials by taking appropriate corrective action. • Manage accounts receivable and actively pursue outstanding balances. • Oversee client collections to ensure timely payment. • Handle insurance appeals for denied or underpaid claims. • Stay informed and compliant with payor reimbursement policies, procedures, and guidelines. • Monitor and apply contracted fee schedules to ensure accurate expected payment. • Foster positive communication and relationships with patients, clinicians, physicians, third-party payors, and other Boundless staff to ensure exceptional customer service. • Adheres to company policies and procedures in addition to regulations, laws and other requirements from applicable governing bodies, certification, licensure and/or accreditation entities, etc. • Other duties as assigned.

🎯 Requirements

• High school diploma required; college coursework a plus. • Preferred 1-3 years’ experience in medical billing and collections, as well as insurance verification. • Proficient in Microsoft 365 • Medical Coding Certification (Preferred) • Driver’s license and insurable driving record, if applicable.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development