Location: Cuyahoga Falls, OH
Company: Western Reserve Hospital
1. Certified Medical Assistant 2. STNA (State Tested Nursing Assistant) 3. Current enrollment in RN program (BSN/ADN) and must have successfully completed first clinical rotation. 4. One (1) year of direct patient care or nurse aide experience that must include vital signs, bathing, and ambulating will be considered in lieu of certification/education.
Licenses & Certifications Required Basic Life Support CPR
team as Medical Billing A/R Specialists for both Professional and Facility charges. With a hybrid work schedule potential and a host of enticing benefits, this is your opportunity to grow in a dynamic and ever-expanding field. Why Choose GBS Rev Cycle: Up to $1000 Sign-on Bonus : We reward your commitment to our team.
Hybrid Work Schedule Potential : Enjoy the flexibility of a hybrid work environment. Full-Time Benefits : We care about your well-being. Our benefits include Medical, Dental, Vision, Accident, Disability Insurance, PTO, Holidays, Wellness plans, Profit Sharing, 401(k), and more. Location: Ohio, Pennsylvania, Georgia, Florida, South Carolina, Texas, or Massachusetts. Are
You Ready for an Exciting Medical Billing Career? GBS Rev Cycle is at the forefront of the industry, and we're growing rapidly. Join us if you're motivated, ambitious, and ready to make a difference!
Position Summary: As a Medical Billing A/R Specialist, you'll play a critical role in ensuring the smooth processing of claims and billed charges. Your responsibilities include navigating payer and clearinghouse websites, utilizing excellent communication skills during phone interactions, and striving for one-touch resolution. Understanding the unique requirements of each payer and staying within time limits for claim and appeal submissions are crucial aspects of this role. Additionally,
you'll need to comprehend explanation of benefits from various carriers and identify trends for efficient management.
Essential Duties and Responsibilities: Effectively manage daily AR reports. Perform follow-up through website navigation or phone calls to Insurance Carriers or patients with unpaid claims. Navigate insurance websites efficiently. Verify insurance eligibility and benefits, and obtain LCDs/Carrier Policies. Understand managed care authorizations and coverage limits, especially for specialties. Research credit balances, prepare refunds for Supervisor approval. Process correspondence requests and respond to customer inquiries promptly. Weekly review of rejected claims and finding resolutions.
Identify and escalate trends in claim submission and deadlines. Report insurance company trends hindering payment/adjudication to AR Team Lead. Contribute to special projects as assigned by the AR Team Lead. Qualifications (Knowledge, Skills, and Ability Requirements): High School Graduate or equivalent. Minimum of 1 year of AR Follow-Up experience preferred. Knowledgeable about insurance and reimbursement processes. Familiarity with medical terminology. Excellent communication and time management skills. Computer literacy with basic word processing, excel, and calculator skills.
Adaptability to change. Detail-oriented and able to multitask effectively. Maintains confidentiality within a HIPAA-secure environment. Environmental/Working Conditions: Normal office environment. Ability to sit for extended periods, use a computer, and operate a calculator. Frequent mobility required to access files; occasional bending, stooping, walking, and lifting. Flexibility to work occasional extended hours, especially at month-end. Equal Opportunity Employer: GBS Rev Cycle is proud to be an equal opportunity employer. We believe in building a diverse and inclusive workforce.
We do not discriminate based on race, religion, color, national origin, disability, gender, gender identity, age, interactionual orientation, veteran or military status, or any other legally protected characteristics. We also provide reasonable accommodations for candidates with disabilities who may need assistance during the hiring process. Ready to Elevate Your Career? Join us at GBS Rev Cycle and embark on a fulfilling journey in the healthcare industry. Apply today to be part of our dynamic team, and let's shape the future of healthcare together!
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