Introduction to Workwarp and the Role
At Workwarp, we are dedicated to unlocking the potential of our team members and driving success in the healthcare industry. As a leader in remote work opportunities, we are excited to offer a unique chance to join our vibrant team as an AR Follow-Up Hospital Collections/Medical Billing Specialist. This role is perfect for individuals with a strong passion for healthcare reimbursement methodologies and a diverse skillset in relevant areas. Our company values innovation, teamwork, and excellence, and we are looking for like-minded professionals to join our mission.
Job Summary
The AR Follow-Up Hospital Collections/Medical Billing Specialist will be responsible for driving the success of our collections and account follow-up processes. This will involve working closely with payers to ensure timely resolution of outstanding claims, utilizing various workflow systems and client host systems, and maintaining a deep understanding of healthcare reimbursement methodologies. The ideal candidate will have experience in hospital/facility billing, insurance collections, and submitting and following up on claims. If you are a motivated and organized individual with excellent communication and written skills, we encourage you to apply for this exciting opportunity.
Key Responsibilities
- Follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or websites, utilizing strong communication and negotiation skills.
- Utilize various workflow systems and client host systems, such as STAR, SMS, EAGLE, and EPIC, as well as other tools available to collect payments and resolve accounts.
- Demonstrate a working knowledge of the insurance follow-up process, including understanding of fundamental concepts in healthcare reimbursement methodologies, government, Medicare, and Medicaid claims.
- Review and update all patient and financial information accurately, verifying that information is accurate as to individual or insurance company responsible for payment of the bill.
- Monitor all billings for accuracy, updating any that contain known errors, and ensure that hospital services are billed to the primary insurer or patient correctly and within the expected timeframe.
- Follow up with insurance companies on all assigned accounts within the expected timeframe, explaining hospital regulations with regard to methods for payment of accounts and maintaining complete working knowledge of insurance regulations and hospital insurance contracts.
- Identify and report underpayments and denial trends, analyzing and resolving issues causing payer payment delays, and initiating appeals when necessary.
- Demonstrate basic knowledge of healthcare claims processing, including ICD-9/10, CPT, and HCPC codes, as well as UB-04, and manipulate Excel spreadsheets to communicate results.
- Maintain daily productivity and quality standards established in departmental policies, acting professionally, cooperatively, and courteously with patients, insurance payors, co-workers, management, and clients.
- Perform special projects and other duties as needed by the management team, maintaining confidentiality at all times and using, protecting, and disclosing patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Essential Qualifications
- Experience in hospital/facility billing is required, with a minimum of 2-3 years of experience in insurance collections, including submitting and following up on claims.
- Ability to work well individually and in a team environment, with strong organizational, communication, and written skills.
- Proficiency with Microsoft Office, including Excel and Word, and basic math and typing skills.
- High School Diploma or equivalent is required, with Medical Billing and Coding certification preferred but not required.
Preferred Qualifications
- Medical Billing and Coding certification, demonstrating a commitment to ongoing education and professional development in the field.
- Experience with various workflow systems and client host systems, such as STAR, SMS, EAGLE, and EPIC.
- Strong analytical and problem-solving skills, with the ability to identify and resolve complex issues.
- Excellent communication and interpersonal skills, with the ability to build strong relationships with patients, insurance payors, and co-workers.
Career Growth Opportunities and Learning Benefits
At Workwarp, we are committed to the growth and development of our team members. As an AR Follow-Up Hospital Collections/Medical Billing Specialist, you will have access to ongoing training and education, as well as opportunities for career advancement and professional development. Our company values innovation and excellence, and we encourage our team members to think creatively and develop new solutions to complex problems.
Work Environment and Company Culture
Our remote work environment is designed to be flexible and supportive, with a strong focus on teamwork and collaboration. We value diversity and inclusion, and we are committed to creating a positive and respectful work environment for all team members. Our company culture is built on the principles of excellence, innovation, and teamwork, and we are looking for individuals who share these values and are passionate about making a difference in the healthcare industry.
Compensation, Perks, and Benefits
We offer a competitive salary and comprehensive benefits package, including opportunities for professional development and career advancement. Our team members enjoy a flexible and supportive work environment, with a strong focus on work-life balance and employee well-being. We are committed to creating a positive and respectful work environment, and we offer a range of perks and benefits to support the health and happiness of our team members.
Conclusion
If you are a motivated and organized individual with a passion for healthcare reimbursement methodologies, we encourage you to apply for this exciting opportunity. As an AR Follow-Up Hospital Collections/Medical Billing Specialist, you will play a critical role in driving the success of our collections and account follow-up processes, and you will have the opportunity to develop your skills and advance your career in a supportive and dynamic work environment. Don't miss out on this chance to join our team and make a difference in the healthcare industry – apply today!
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