Remote Eob Jobs in Florida (NOW HIRING)

PRIMARY FUNCTION 

Posts payments and makes necessary adjustments via payment management systems as well as identifies and processes the issuance of patient or insurance refunds. 

ESSENTIAL DUTIES AND RESPONSIBILITIES 

This list may not include all the duties that may be assigned. 

1. Ensures payments or adjustments are posted in accordance with EOB’s and patient checks. Reviews and correct any errors until payments are balanced.  

1. Post insurance payments and patient refunds from EOB or ERA accurately against appropriate line-item services and enters adjustments as indicated when required according to contract.  

1. Assesses, identifies payment/denial trends via payment management systems and communicates to Team Leader and Manager    

1. Monitor and report any underpayment or overpayment.   

1. Research and resolves any unapplied payments.  

1. Performs other duties as assigned. 

QUALIFICATIONS 

EDUCATION:  

• High school diploma/GED or equivalent.  

• Experience may commensurate education.  

EXPERIENCE:  

• A minimum of one year revenue cycle management experience required. 

• Three years preferred. 

KNOWLEDGE, SKILLS, AND ABILITIES 

• Knowledge of Medical billing and collection protocol, all types of insurance (HMO, PPO, POS, Medicaid etc.).   

• Skill in defining problems, collection of data, interpreting billing information.  

• Ability to communicate effectively verbally and written.  

• Ability to multi-task in a fast-paced environment. 

• Ability to prioritize work.  

• Ability to work in a team environment or independently. 

TYPICAL WORKING CONDITIONS 

• Non-patient facing 

• May be either full time remote/telework or rotate working in the office and remote/telework. 

• This job must be U.S. based. 

• Indoor Work  

• Operating Computer  

• Reach Outward  

• Manual Dexterity  

• Lift/Carry 10 lbs. or less.  

• Push/Pull 12 lbs. or less.  

• Sitting 

 
OTHER PHYSICAL REQUIREMENTS 

• Vision 

• Sense of sound 

• Sense of touch 

• Ability to wear Personal Protective Equipment (PPE) as needed. 

PERFORMANCE REQUIREMENTS 

• Ability to multi-task in a face paced environment while meeting established production and quality goals/metrics.  

• Strong organizational skills, with ability to effectively prioritize work and daily basis and follow up on open items in a timely manner.  

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations. 

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of the general nature of level of the job.