Medical Billing/AR Specialist - Remote - Clifton, NJ, United States

Company Description

Do you have a background in medical collections, insurance follow-up, and revenue cycle management? Are you familiar with managed care contracts, contract language, and federal and state requirements?  Interested in an opportunity that will allow you to work from the comfort of your own home?

Join us.

Sutherland is seeking analytical, detail-oriented individuals with strong communication skills to join us as Medical Billing/AR Specialists on a temporary basis (6 months temp-to-perm). These are work from home positions, but all training will take place on-site in Clifton, NJ. Initial training will take 3-4 weeks.

These jobs pay $25/hour.

Job Description

In this position, you will be responsible for handling a variety of tasks to ensure payment collection activity is resolved, disputed or sent to Legal. This will include:

• Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online
• Providing ongoing appropriate collection activity on appeals
• Requesting additional information from Patients, Medical Records, and others as needed
• Communicating with insurance plans and researching health plans for benefits and types of coverage
• Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed.
• Handling other duties as assigned

Qualifications

• Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies
• Full understanding of Managed Care collections
• Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims
• Knowledge of Managed Care contracts, Contract Language and Federal and State requirements
• Intermediate understanding of Hospital billing form requirements (UB04) and HCFA 1500
• Medical claims and/or hospital collections experience
• Minimum high school education, …