Revenue Cycle Specialist – Appeals

Location:  Remote, United States

Hourly Compensation:  $20 - $22 DOE

Work Schedule: Full-Time, Non-Exempt

 

SUMMARY

The Revenue Cycle Specialist – Appeals is responsible for performing all aspects of billing and follow-up activities related to Medicare.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES

· Prepare and submit all billings expeditiously.

· Respond to phone and mail inquiries from Medicare.

· Conduct all follow-up activities including handling all correspondence for appeals and fair hearings.

· Process all denials to maximum benefit.

· Adhere to all company policies and procedures.

· Assure that customer problems are handled properly and promptly.

· Process and review assigned queues on a daily basis.

· Review and advise Medicare Supervisor of any and all changes in Medicare regulations or requirements and any issues related to Medicare billing.

· Input claim data information on a daily basis.

· Balance journals periodically.

· Ensure compliance of guidelines provided by Government related agencies and Corporate policies.

· Pass Quality Assurance audits with an accuracy rate of 95% or better.

 

MINIMUM QUALIFICATIONS

Minimum of one (1) year prior office work experience

Minimum of one (1) year medical billing experience

Experience with ambulance coding and appeals is highly preferred

Knowledge of HCPCS is preferred

Prior work experience performing Medicare billing, follow-up, and knowledge of Medicare terminology  is highly preferred

Involvement with Medicare, Medicaid, HMO, and PPO appeals process if preferred

General working knowledge of PCs and/or patient accounting computer systems

Computer experience and proficiency using Microsoft Office Suite (Word, Excel, etc.), Adobe, and smartsheets

Experience with website navigation

Must type a minimum of 45 wpm and use a ten-key calculator by touch

Working knowledge of medical terminology and ICD-9 and 10 coding

Able to perform duties within tight time constraints and handle large volumes of work

Able to work cooperatively in a team atmosphere

 

EDUCATION

High school diploma or GED required

College courses in psychology, communications, business, and/or health services is preferred

 

Why Choose AMR? AMR 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.

 

GMR’s Core Behaviors—keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.

 

EEO Statement

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.

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