Medical Billing and Accounts Receivable Specialist – Remote Work

About SimiTree

SimiTree is a U.S.-based company that provides client-centered services for home health specialties, hospice, private service, pediatrics, applied behavior analysis, palliative care and other post-acute care organizations. Our organization is made up of clinical, operational and revenue cycle experts who support our clients. SimiTree has developed a comprehensive set of custom-designed services that focus on critical areas for quality improvement, operational efficiency, accurate reimbursement and regulatory compliance.

Job Description:

• Only international applicants (outside the United States) are accepted.
• Must be fluent in English.
• Please apply with a resume written in English. Resumes in any other language will be disqualified.

We are looking for a trained and committed medical billing and accounts receivable specialist to join our team. As a medical billing and accounts receivable specialist, you'll be responsible for analyzing dates, evaluating information, and making sound decisions. Your day-to-day tasks will include managing billing software, appealing denied claims, following up on insurance claims, taking action, reviewing denials, reviewing denials, and tracking late payments. To excel in this role, it is essential to have a thorough knowledge of billing software and health insurance policies.

In addition, strong written and verbal communication skills are required, as communication with clients and insurance agents will be an important aspect of the job. If you are a motivated individual with a passion for medical billing and a commitment to providing excellent customer service, we encourage you to apply.

Responsibilities:

• Prepare, verify, and submit billing and medical claims data to insurance companies.
• Check all demographic and insurance information in the practice management system's patient record at the time of charge entry to ensure accuracy.
• Accounts receivable handling, denial management, appeals management, and clearing house rejections must be rectified in a timely manner.
• Contact multiple payers as needed to verify or obtain information.
• Ensure client satisfaction by effectively and regularly following up on all outstanding claims to maximize practice collection.
• Maintain protocols and documentation of each task performed.
• Follow-up of late payments and resolution of financial discrepancies.
• Track unpaid claims within the standard billing cycle timeframe.
• Communication with providers, insurance companies, and patient support.
• Fast and accurate corrective actions on claims denied by health insurance.
• Understanding relevant key performance indicators (KPIs) and working towards positive outcomes for assigned clients compared to all KPIs.

Requirements:

• Bachelor's degree in business, health care administration, accounting, or a relevant field.
• Excellent communication and interpersonal skills.
• A minimum of 3 years of experience as an accounts receivable specialist or similar role.
• Solid understanding of billing software and electronic medical records.
• You must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Excellent problem-solving and organizational skills.
• Proficiency in Microsoft Office.
• Ability to work independently and in a team environment.
• Great attention to detail and precision.
• Eagerness to learn and grow in the field.

Skills:

• Medical billing.
• Follow-up of claims.
• Claims management.
• Calls to insurance.
• Electronic Payment Notices (ERA).
• Explanation of Benefits (EOB).
• Medical billing processing.
• Organization and monitoring.
• Time management.
• Reporting skills.
• Attention to detail.

#IOC1