Billing Representative II

Responsibilities

• Analyzes and applies responses from third party payers for all media types, paper and electronic. Includes denials, manual and electronic processes for insurance carriers.
• Post payments from payers’ explanation of benefits.
• Complies with departmental Business Rules and Standard Operating Procedures.
• Focuses efforts on increasing cash and/or reducing bad debt.
• Interprets explanation of benefits for appropriate follow up action.
• Utilizes automation tools to process the denials/cash responses.
• Communicates and collaborates with members, peers and/or providers to evaluate claims errors/issues, using clear, simple language to ensure understanding.
• Works on various other projects as needed.
• Meets the performance goals established for the position in the areas of production, quality, patient and client satisfaction as well as attendance.

This position is full-time (40 hours/week) Monday – Friday. This is a remote position. It may be necessary, given business need, to work occasional overtime and/or weekends or holidays and in-office attendance may be required occasionally for training or due to business needs.

Qualifications

Required Qualifications:

• High School Diploma/GED or equivalent work experience.
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, Microsoft Teams, video conferencing and regular use of Access databases.
• Strong keyboard and navigation skills and ability to learn new computer programs.
• Strong communication skills, both verbal and written.
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Ability to keep all company sensitive documents secure (if applicable).
• 2+ years’ experience in A/R, Billing, and Customer Service, Insurance, or Healthcare.

Some College level classes/coursework are preferred. Previous work experience in a fast-paced, production environment requiring strong multi-tasking and problem-solving skills. Medical terminology acumen and experience preferred. Knowledge of Quest billing, reject codes, WBS/QBS preferred.

This position is remote, however, you must be available to go into the office as needed for training, meetings, etc., depending on business needs. Preferred telecommute location that is within 1-1.5 hours travel time from the Norristown office location.

Preferred Skills

• Ability to work in a fast-paced environment.
• Ability to adapt to change.
• Ability to work cross functionally within billing.
• Ability to understand EOBs (explanation of benefits).
• Strong keyboard and navigation skills and ability to learn new computer programs.
• Previous data entry experience preferred.
• Medical terminology acumen and experience preferred.