This role involves communicating with patients, government agencies, and third-party payers to gather, process, and record information for appropriate reimbursement.
It includes coordinating with departments for charge details, coding updates, and claim appeals, as well as completing billing and collection processes for distribution.
Responsibilities also encompass reviewing unpaid claims, obtaining necessary information to resolve reimbursements, and following established procedures within routine parameters.
The position requires following daily instructions and guidelines.
Requirements include a day shift (M-F, 8am-5pm), remote work capability, and location in Roseville.
Candidates should have at least 2 years of follow-up experience with Medicare or Managed Medicare, portal knowledge, basic denial experience, and familiarity with professional claims and EPIC.
Preferred qualifications include medical billing and collections experience, an associate's or technical degree, and high school diploma or GED.
Essential functions involve reviewing, correcting, and submitting claims, initiating collection actions on unpaid or denied claims, calculating adjustments, and providing general office support.
Additional duties may be assigned as needed.