InteliWound Hiring for Medical Biller at Remote Full Time

ensureand and Medical Billing Specialist

We offer competitive salary, Paid Time Off, and opportunities for professional growth.

InteliWound is a busy Management Services Organization in San Diego provide wound management services for well-established wound care medical practices in multiple states. We are looking for a Billing Specialist to join our team!

The Billing Specialist is a key position in the Revenue Cycle, managing the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. This key person will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely to maximize revenues.

Requirements:

• Billing and A/R Claims Processing: 5 years (Required)
• Knowledge of wound management field (Preferred)
• Medical Billing Certification (Required)

Responsibilities:

· Actively participates and coordinates procedures involving billing, coding and accounts receivables resolution

· Ensures proper and complete coding of diagnosis and procedures

· Investigates and resolves claim rejections from clearinghouse, as needed.

· Posts payments and analyzes accuracy of reimbursements

· Prepares and files appeal letters/provider dispute forms on incorrectly paid or denied claims

· Initiates feedback on denial trends and recommendations and action plans to resolve billing and/or coding issues

· Contacts patients as necessary regarding payment on accounts.

· Contacts insurance companies to expedite payment on past due accounts.

· Reviews and requests credit refunds when appropriate.

· Reviews past due accounts and sends them to collection agency.

· Speaks with patients or their representatives to identify problems relating to their care/billing.

· Refers patients to appropriate insurance companies or resources with guidance on what action must be taken to resolve their claim denial.

· Supports company’s production and collection goals

· Attends staff meetings and in-services

· Follows medical/legal policies such as HIPAA, PHI and ACA related regulations and guidelines.

Job Type: Full-time

Pay: $22.50 – $27.50 per hour

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Application Question(s):

• Have you worked in a remote position before?
• Do you have experience billing for wound care providers?

Experience:

• Medical Billing: 5 years (Required)

License/Certification:

• Medical Billing Certification (Required)

Work Location: Remote