Billing and Follow Up Representative – Hospital Medical Billing Follow-up, Medicare & Medicare Advantage Payor

🔥 9 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $17 - $25 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Performs day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services (PBS) location. • Serves as a member of the billing and follow-up team at a PBS location responsible for billing and follow-up of government and non-government accounts. • Documents claims billed, paid, settled, and follow-up in appropriate system(s). • Identifies and escalates issues affecting accurate billing and follow-up activities. • Adheres to proactive practices, including contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. • Communicates with appropriate hospital departments to clarify billing discrepancies and obtains demographic, clinical, financial, and insurance information. • Performs all routine follow-up functions which include the investigation of overpayments, underpayments, credit balances and payment delays. • Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner. • Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. • Proactively follow up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required. • May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, such as the number of claims and dollars billed, claims edited, claims unprocessed, etc. • Other duties as needed and assigned by the supervisor.

🎯 Requirements

• High School diploma and successful completion of Trinity Health Trainee program as well as achievement of related program productivity and quality standards or at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. • Experience in a complex, multi-site environment preferred. • Experience working with hospital medical billing follow-up with Medicare and Medicare Advantage needed that supports the state of Florida. • Experience working with Epic is very desirable. • Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. • Completion of regulatory/mandatory certifications and skills validation competencies preferred. • Excellent verbal and written communication and organizational abilities. • Strong interpersonal skills are necessary in dealing with internal and external customers. • Accuracy, attention to detail and time management skills. • Ability to work independently. • Ability perform billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization. • Must be comfortable operating in a collaborative, shared leadership environment. • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.