Medical Billing Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

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Logo of Emerus Holdings, Inc.

Emerus Holdings, Inc.

1001 - 5000 employees

Founded 2006

🏥 Healthcare

💊 Pharmaceuticals

💰 Private Equity Round on 2015-08

Healthcare • Pharmaceuticals

Emerus Holdings, Inc. is the nation’s first and largest operator of neighborhood hospitals, dedicated to partnering with leading health systems to deliver excellence, empathy, and innovation in healthcare. Their unique model features small-format hospitals that offer a wide range of outpatient and ancillary services, including emergency care, imaging, specialty care, inpatient care, diagnostic testing, and pharmacy services, all within a single licensed facility. Headquartered near Houston, Texas, Emerus prioritizes patient-first care and has been nationally recognized for its high standards. With a diverse team of over 2,000 professionals across 20+ specialties, Emerus has proudly served local communities for over 18 years, emphasizing collaboration and integration with partner health systems across the U. S.

📋 Description

• Complete the daily billing process and ensure successful completion • Review and correct claims returned by the clearinghouse, payer, or internal edits • Follow up on and investigate billing errors returned by payers, collaborating with team members and supervisors for resolution • Suggest billing component changes as necessary for payers • Work reports such as discharge-not-final-billed and billing exceptions to ensure accurate account classification and final billing • Complete billing requests for claims not received by payers and submit corrected claims • Review and update demographic, guarantor, and insurance data from registration • Track company claims to ensure successful transmission and receipt • Attend required staff and company-sponsored meetings • Perform additional assigned duties

🎯 Requirements

• High School Diploma or GED, required • 3+ years medical billing experience, required • Expert knowledge of the UB-04/CMS-1450 claim form, required • Knowledge of state and Federal payment laws, required • Experience using a 10-key adding machine, required • Proficiency with Microsoft Office (Microsoft Word, Excel and Outlook), required • Fluency in English; written and oral communication • Willingness and ability to work overtime

🏖️ Benefits

• Equal access to information, development and opportunity • Attendance at staff meetings and company-sponsored or mandated meetings • Overtime opportunity

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