Experienced Medical Biller, Workers' Compensation

New
E
EnableCompHealthcare revenue cycle
United States - RemoteFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
1-2+ years’ experience in healthcare field working in billing or collections; 1+ years’ client facing/customer services experience; 1+ years’ experience with workers compensation billing and collections a preferred.
Required Skills
Microsoft ExcelMS OfficeCustomer service

Requirements

  • High school diploma or GED required.
  • Associate or bachelor’s degree preferred.
  • 1–2+ years of experience in healthcare billing or collections.
  • 1+ years of client-facing or customer service experience.
  • 1+ years of workers’ compensation billing and collections experience preferred.
  • Intermediate understanding of insurance payer/provider claims processing and related data requirements.
  • Proficiency with basic office applications, including MS Word, Excel, and Outlook.
  • Ability to meet or exceed productivity targets and goals.
  • Ability to work independently without direct supervision.
  • Strong written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Experience working with external clients and strong customer service skills.
  • Ability to prioritize and manage multiple competing priorities and projects.

Responsibilities

  • Analyze and evaluate workers’ compensation claim payments using EnableComp software, systems, and tools.
  • Compare reimbursement with applicable state workers’ compensation fee schedules or PPO contracts.
  • Research and obtain medical records, implant manufacturer invoices, and other supporting documentation.
  • Submit supporting documentation with hospital claims to insurance companies.
  • Follow up with payers by phone to confirm receipt of claims and documentation and facilitate reimbursement.
  • Prepare workers’ compensation initial bill packets or appeal letters using EnableComp systems and tools.
  • Submit bill packets or appeal letters with the required supporting documentation.
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