Note: The job is a remote job and is open to candidates in USA. Chapters Health System is committed to providing outstanding patient care and customer service. The Billing and Collection Representative for Medicare is responsible for processing and submission of third party claims, denial management, and account resolution.

Responsibilities

• Prepares and submits accurate billing to third party payor’s and self-pay invoices
• Identifies and resolves billing clearinghouse rejections
• Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s
• Analyzes and resolves credit balances
• Handles incoming and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution
• Processes correspondence
• Initiates and resolves technical denial appeals
• Identifies payor denial and cash fluctuation trends and escalates as appropriate
• Performs other duties as assigned

Skills

• High School Diploma or GED
• Minimum of one (1) year of medical billing and collection experience
• Ability to prioritize and multi-task independently with little supervision
• Must be self-motivated and service oriented
• Excellent written and verbal communication skills
• Accurate typing and data entry skills
• Knowledge of third party billing and state and federal collection regulations

Company Overview