Job Details

Job Description

Revenue Cycle Medical Billing Appeal Determination - Medicare

Location: Remote or On-Site (West Plains, MO)

Hourly Compensation: $18

(this position is bonus eligible)

Schedule: Full-Time

The Revenue Cycle Medical Billing Appeal Determination - Medicare position is responsible for reviewing incorrectly processed and/or denied claims to determine next appropriate actions to resolve the claim.

Essential Functions/Duties

• Process remittance advice notices from Medicare claims (primary, secondary, tertiary) to determine next actions.
• Obtain and document necessary reprocessing and/or appeal related data to resolve the incorrectly processed/denied claim in a timely and efficient manner.
• Determine process and resources are allocated to provide required payor documentation, assembly, and filing in a timely manner.
• Analyze work processes to maximize efficiency.
• Work to achieve team and departmental goals.
• Work effectively as a member of a team.
• Communicate clearly and concisely, both orally and in writing.

Qualifications

Required Experience:

• Must be fluent in English
• Minimum three (3) years' experience in healthcare/revenue cycle billing environment (medical billing)
• Above average knowledge of Medicare and/or Medicare Replacement billing guidelines
• Ability to read and decipher an explanation of benefits and/or remittance advice notice
• Minimum of one (1) year working in a call center environment
• Ability to work independently or as an active member of a team
• Must possess empathic and professional written and verbal communication skills
• Knowledge and experience of computers and related technology, at an intermediate level

Preferred Experience:

• A minimum of one (1) year working in customer service

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.

EEO Statement

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.

More Information about this Job

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