Medicare Coordinator
Insight Global
Job Description
Insight Global is seeking a candidate that can manage billing collection for Medicare account receivables, aiming to minimize outstanding accounts and maximize cash flow. This candidate will be responsible for working about 100 accounts per day. Additionally, this person will review, process, and correct electronic claims using AccessANYware, SSI, and DDE software systems to ensure timely reimbursement. Resolves RTP and denied claims, and maintains the electronic Medicare billing system. Coordinates and updates CM and DDE billing updates, billing tables, and system edits to optimize electronic capabilities. Runs job streams, generates, and evaluates electronic Medicare billing reports. Educates and trains staff on electronic claims submissions. Stays informed on changes to Medicare billing regulations and compliance issues. Responds to incoming calls and assists walk-in patients.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form (https://airtable.com/app21VjYyxLDIX0ez/shrOg4IQS1J6dRiMo) . The EEOC "Know Your Rights" Poster is available here (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12ScreenRdr.pdf) .
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Skills and Requirements
High School Diploma/GED
4 years of Medicare billing and collections experience
2+ years of hospital billing experience
DDE - Direct Data Entry experience
Knowledge of a UB 04 form Experience with denials and appeals
Knowledge of ICD-9, ICD-10, and CPT codes
Experience using SSI billing system
Previously used Allscripts or AM/PFM null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
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