Medical Billing Revenue Cycle - Payment Verification - Commercial Payors

Revenue Cycle Medical Billing

Commercial Insurance Accounts Receivable Payment Verification Specialist

Location: On-Site or Remote

Hourly Pay: $19.50 (this position is bonus eligible)

Training Schedule: 8am-5pm Central

Work Schedule: Flex 7am-7pm Central

Job Description

The Revenue Cycle Medical Billing - Commercial Insurance Accounts Receivable Payment Verification Specialist role requires experience working with various commercial insurance providers. The ideal candidate will demonstrate strong attention to detail, excellent communication skills, and a proven ability to resolve insurance denials and manage accounts receivable collections. All responsibilities must be carried out promptly and accurately, in line with the billing office's policies and procedures.

Essential Functions/Duties

Responsibilities
* Complete follow-up of claims on a timely basis according to the productivity guidelines.

* Meet daily and monthly departmental production goals set forth by the supervisor.

* Review and analyze claim denials to perform the appropriate appeals necessary for reimbursement.
* Identify, document, and communicate trends in recurring denials.

* Recommend process improvements or system edits to eliminate future denials.
* Review system generated work list and aged reports to resolve accounts which have not been paid in the appropriate time frame, based on payor contracts and guidelines.
* Review payment denials and discrepancies identified through EOB, remittance advices, or payor correspondence and take appropriate action to correct these accounts.
* Document all account activity in an accurate and timely manner for all touchpoints made.

Qualifications
Required Experience & Skills
* At least 1 year of hands-on experience in Accounts Receivable collections

* Strong numerical skills, including accurate data entry and record posting

* Proficiency in gathering data, compiling information, and preparing detailed reports

* Sound judgment with the ability to handle and protect confidential information

* Capable of performing routine administrative tasks

* Excellent record-keeping and documentation abilities

Preferred Experience
* Two or more years of experience in healthcare or revenue cycle billing

* Strong problem-solving abilities, especially when dealing with complex claims

Preferred Education

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response's (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com. Learn how our values are at the core of our services and vital to how we approach care and check out our comprehensive benefit options at www.GlobalMedicalResponse.com/Careers.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits page to learn more about our benefit options.