Remote Paperwork Jobs in Wisconsin (NOW HIRING)

Responsibilities:

• Partners with Operations to resolve issues surrounding unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), and insurance, and demographic capture issues

• Effectively code and bill ambulance transportation claims

• Responsible for escalating concerns regarding questionable paperwork to appropriate management

• Contact payers to verify claim status via phone or web and follow up on unpaid claims

• Process appeals on aged insurance claims/denials

• Ability to analyze, identify and resolve issues which may cause payer payment delays

• Identify and resolve claim edits through understanding of billing guidelines and payer requirements

• Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate

• Interpret terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation and No Fault when applicable

• Review all EOBs for correct payment, deductible, adjustments, and denials

• Determining the status of claims with the insurance company, if the claim meets contractual agreements or needs adjustment

• Reconcile account balances, and verify payments are applied correctly

• Maintain well aged accounts, promptly resolve, and resubmit denied unpaid claims in a timely and efficient manner

• Follow up on appeals/corrected submitted claims

• Review and correct billing errors, which require a strong knowledge of CPT and ICD-10 coding

• Review and audit customer service account inquiries

• Receive inbound/outbound customer service call

• Perform internal recovery calls and manage well aged self-pay accounts

• Provide excellent customer service to all patients, Insurances & Facilities

• Review and correct all rejections in clearing house

• Perform all other related duties as assigned

Qualifications:

• Medical billing experience preferred, but not required

• Ambulance billing experience (preferred)

• Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation

• Proficient in CPT and ICD-10 coding

• Ambulance/Medical billing certification or diploma preferred

• Certified Ambulance Coder (CAC) certification required within 30 days of employment (company sponsored)