Medical Billing Specialist

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $20 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

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Connect America

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🤖 Artificial Intelligence

☁️ SaaS

💰 Private Equity Round on 2010-01

Healthcare • Artificial Intelligence • SaaS

Connect America is a leading provider of digital health solutions focused on remote patient monitoring and connective care solutions. Their innovative platform integrates connected devices with tech-enabled remote care services, analytics, and a 24/7 concierge call center, empowering individuals to age safely and independently at home. With an AI virtual health assistant and robust analytics engine, they enhance patient engagement, medication adherence, and overall health outcomes while reducing unnecessary hospitalizations and healthcare costs.

📋 Description

• Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. • Obtaining and entering Medicaid authorizations accurately and timely to ensure clean claims are released • Reviewing claims for the accuracy of procedures, diagnoses, demographic and insurance information • Obtaining and entering equipment upgrades and correspondence from the payer agencies • Reviewing and correcting all claims/charge denials and edits that are communicated via Explanation of Benefits (EOB) and other methods of communication • Monitoring days in Accounts Receivable and ensuring that they are maintained at the levels expected by management • Communicating proactively of any billing issues identified • Timely follow-up on billing and claims discrepancies as communicated by the payer. • Reading and interpreting insurance Explanation of Benefits • Responding to inquiries from agencies, case managers, insurance companies, and internal customers in a timely manner • Regularly attending monthly staff meetings and in-house training events • Additional duties and responsibilities as required and or assigned.

🎯 Requirements

• Associates Degree in Medical Billing and Coding or Accounting, preferred • 2+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement • Familiarity with CPT and ICD-10 coding and medical terminology • Strong technical with Excel, software, including, but not limited to: Billing Software, MS Office, and Insurance Portals • High aptitude to learn new programs, system integrations, and business processes • Excellent customer service skills with strong written and verbal communication skills. • Ability to manage relationships with various insurance payers and agencies • Strong work ethic with proven track record of accuracy, dependability and consistency • Must be able to think independently, multitask, have strong problem solving skills, and have a continuous improvement mentality. • Ability to gain the cooperation of others in pursuit of company goals