Revenue Cycle Medical Billing Appeal Determination - Medicare

Medical Billing - Revenue Cycle - Appeal Determination - Medicare

Location: Remote or On-Site

Hourly Pay: $18

Work Schedule: Full-Time, 40 hrs/wk, Mo-Fr, 7 am-7 pm

JOB SUMMARY

The Medical Billing - Revenue Cycle - Appeal Determination - Medicare position is responsible for reviewing incorrectly processed and/or denied claims to determine next appropriate actions to resolve the claim.

ESSENTIAL FUNCTIONS/DUTIES

• Process remittance advice notices from Medicare claims (primary, secondary, tertiary) to determine the next actions.
• Obtain and document reprocessing and/or appeal related data to resolve the incorrectly processed/denied claim.
• Ensure processes and resources are allocated to provide the required payor documentation assembly and filing.
• Analyze work processes to maximize efficiency.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum three (3) years experience in healthcare revenue cycle billing (medical billing)
• Above average knowledge of Medicare and/or Medicare Replacement billing guidelines
• Ability to read and decipher an explanation of benefits and/or remittance advice notices
• Minimum of one (1) year working in a call center environment
• Ability to work independently or as an active member of a team
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience:

• A minimum of one (1) year working in customer service

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.