Revenue Cycle Medical Billing Claim Status Medicaid EOB Review

Revenue Cycle Medical Billing – Claim Status Medicaid EOB Review

Location:  Remote or On-Site, United States

Hourly Compensation: $17.50

(this position is bonus eligible)

Training Schedule:  Mo – Fr 8am-5pm Central

Work Schedule:  Mo – Fr 7am - 7pm Central, 8 hrs/day, 40 hrs/wk

JOB SUMMARY

Revenue Cyle Medical Billing - Claim Status Medicaid EOB Review position is responsible for timely follow up of payments and denials on claims filed to traditional Medicaid and Medicaid Managed Care plans along with accurate documentation of the actions taken.

ESSENTIAL FUNCTIONS/DUTIES

• Complete follow-up of claims on a timely basis according to the productivity guidelines for account follow-up goals.
• Meet daily and monthly departmental production goals set forth by the supervisor to ensure that the company is achieving its financial goals.
• Review and analyze claim denials to determine if an appeal is necessary for reimbursement.
• Identify, document, and communicate trends in recurring denials. 
• Recommend process improvements or system edits to eliminate future denials.
• Review system generated work list and aged reports to resolve accounts which have not been paid.
• Review payment denials and discrepancies identified through explanation of benefits, remittance advices, or payor correspondence and take appropriate action.
• Document all account activity in an accurate and timely manner.

QUALIFICATIONS

Required Experience:

• Must be fluent in English
• Minimum of 1 year, full-time, medical billing experience
• Minimum of 50 words per minute (typing)
• Ability to work independently or as an active member of a team
• Communicate clearly and concisely, both orally and in writing
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level
• Ability to use independent judgment and to manage and impart confidential information

Preferred Experience:

• Minimum of 6 months of work in a call center environment
• Minimum of 6 months of customer service experience
• Ability to calculate numbers, correct entries, and post to records

Preferred Education: 

• High school diploma
• GED
• Or significant, relevant work experience

Why Choose Air Evac Lifeteam? As a leader in helicopter air ambulance services, Air Evac Lifeteam is one of Global Medical Response’s (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com.

GMR’s Core Behaviors—keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.

Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.

Check out our careers site benefits pageto learn more about our benefit options.