MedScope, a division of Medical Guardian is a rising leader in the medical alarm industry, seeks a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a role in the Billing Department. In this role, you will use our customized system in tandem with other applications to send recurring monthly claims and invoices, receive payments, and respond to denials of payment with the goal of resubmitting for payment. You will also perform monthly/quarterly payment audits, analyze the reasons for denied payments or returned claims, and work toward resolution. Ability to analyze data and think critically a must.
This is a full-time, remote position requiring a daily schedule of 9:00am-5:00pm EST.
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Permanent residency in one of the following states is required: PA, DE, GA, MI, NC, TX, NJ, and FL only.
Key Duties and Responsibilities:
- Monthly submission of invoices/claims, electronic and on paper, in large and small batches
- Payment application through our customized system
- Review and examination of non-paid invoices/claims, to work through the denial resolution process for resubmission or other appropriate resolution
- Month end reporting and analysis of accounts, large and small, including deciphering the reason(s) for invoices that are open and unpaid after aging for 90 days
- Audit accounts for payment and analyze the reason(s) that payment has been denied
- Phone work as needed, including customer interactions and receiving payments over the phone via credit card
Desired Experience:
- Associate's or bachelor's degree (preferred) in healthcare or a related field; high school diploma required
- 1+ years of previous revenue experience.
- Billing/coding certification preferred.
- Course-work or experience with medical billing, 1500 claim forms, service authorizations, or previous experience with billing in a medical office
- Experience with Medicaid and Managed Care Organization a plus
Required Skills:
- Proficiency in the Microsoft Office suite of applications required
- Strong analytical and mathematical skills
- Intelligent individual with excellent oral and written communication skills
- Critical thinking - ability to decipher when things are missing or incorrect
- Accurate and organized with the ability to multitask
- Friendly phone demeanor - will be in direct contact with customers and referring sources
- Must be able to work both independently and collaboratively on a small team, and be accustomed to working with deadlines
- Punctual and reliable with a professional appearance and demeanor
Founded in 2005, Medical Guardian is a leading provider of innovative medical alert systems that empower people to live a life without limits. A member of the National Aging in Place Council, Medical Guardian is headquartered in Philadelphia and provides support to hundreds of thousands of people across the country who are ready to take on the next chapter of life while remaining safe living in their own home. Whether it's an in-home system or a mobile device with GPS capabilities, Medical Guardian has the personal medical alert device to meet an array of needs and lifestyles.
Medical Guardian has been named "Top Workplaces" by the Philadelphia Media Network in 2018, "Best Places to Work" by the Philadelphia Business Journal in 2015 and ranked number 24 in The Philly 100 fastest growing companies. In 2017, the company made its fifth appearance in a row in Inc. 5000 Fastest Growing Private Companies in America list. Here at Medical Guardian, we believe that we are doing more than selling medical alert devices; we're saving lives. Learn more about Medical Guardian by visiting www.medicalguardian.com .