Medical Claims Resolution Specialist

Employer
pMD
Location
Working from home
Salary
$6 per unit
Posted
Oct 21, 2024
Closes
Dec 20, 2024
Role Type
Billing / Coding
Position Type
Other, Specialist
Hours
Per Diem
Practice Setting
Other
Work Mode
Remote
Employment Type
Contract
Organization Type
Corporation / LLC

Hello!

Are you passionate about helping businesses clean up their old claims? Do you find it rewarding to resolve billing issues efficiently? If you love tackling unique challenges and using your problem-solving and analytical skills, we have the perfect opportunity for you!

Join pMD as a flexible contract specialist, where you can enjoy:

  • Complete Flexibility: No minimum working hours or daily requirements. Work as much or as little as you want!
  • First Come, First Serve: Secure work on your schedule, based on availability.
  • Meet Your Goals: Balance your workload to meet your compensation targets.

Take control of your work-life balance and make a meaningful impact in the world of medical billing. Ready to jump in?

(Contract) Medical A/R Follow Up Specialist

The (Contract) Medical A/R Follow Up Specialist roleĀ at pMD helps our physician practices maximize revenue through aggressive follow up on healthcare insurance receivables. This role will help our team gain valuable information to aid in the resolution of outstanding claims and support prompt payment.

Responsibilities include:

    • contact insurance carriers to inquire about the status of past due accounts to secure payment of claims
    • conduct research to update status of unpaid or denied claims
    • document details of activity on each account in software solution program
    • demonstrate the highest level of compliance with all laws and regulations, including but not limited to HIPAA

Requirements include:

    • make phone calls to insurance carriers between the operating hours of 8 am and 6 pm EST
    • exceptional attention to detail
    • experience communicating effectively with payers
    • prior collections or medical billing experience with a basic understanding of ICD-10, HCPCS, and medical terminology
    • w9 required - must currently work as a sole proprietor or have or be willing to register a business per independent contractor guidelines
    • reside in the U.S.

Rate: $6.00 per claim. This role is paid on a per-verified claim basis.

Candidates must be authorized to work in the U.S. as a precondition of employment.

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