Repricing Associate (Temporary)
New
J
JobgetherMedical billing
Workplace type: Remote. Work from anywhere in the United States.Temporary
Salary24 - 29 USD per hour
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Job Details
- Required Skills
- Microsoft ExcelMicrosoft Office
Requirements
- Previous experience working in a medical billing environment is required.
- Understand medical billing and coding procedures, including ICD-10 and CPT-4 codes, and medical terminology.
- Have familiarity with Medicare and Centers for Medicare & Medicaid Services (CMS) requirements.
- Apply state-specific requirements, compliance standards, and turnaround-time expectations to medical bill repricing activities.
- Navigate multiple software applications and screens efficiently.
- Be proficient with Microsoft Word, Excel, Outlook, Teams, Slack, Zoom, and internet-based applications.
- Investigate billing and reimbursement discrepancies, prepare detailed reports, and manage assigned tasks with minimal guidance.
- Communicate professionally with providers, vendors, and internal colleagues.
- Prioritize competing assignments, multitask, and meet deadlines.
- Have reliable internet access and the ability to work effectively in a fully remote environment.
- A college degree or college-level education is preferred; relevant medical coding accreditations are an advantage.
Responsibilities
- Enter billing information and Medicare reporting data, and verify ICD-10 and CPT-4 codes.
- Research and respond to inquiries within established turnaround times while following applicable state laws and Medicare requirements.
- Investigate EDI claim rejections, resolve processing issues, and apply manual repricing when necessary.
- Process billing reconsiderations and appeals, coordinating with vendors and provider networks.
- Research returned provider checks and reimbursement inquiries, and process requests related to payment discrepancies.
- Prepare reports, maintain accurate records, and track inquiries and assigned tasks.
- Participate in quarterly oversight meetings with PPO networks and vendors.
- Cross-train on provider network responsibilities and assist with additional operational duties.
- Prioritize assignments, navigate multiple systems, and meet deadlines and service standards.
- Respond to internal and external stakeholders to resolve questions and clarify billing issues.
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