RCM Medical PreBilling Specialist

Company: Zoll Medical Corporation
Location: Broomfield
Posted on: May 2, 2024

Job Description:

RCM Medical PreBilling SpecialistLocation: Broomfield, COData ManagementAt ZOLL, we're passionate about improving patient outcomes and helping save lives.We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.Acute Care Technology, a division of ZOLL, is a healthcare software solutions provider that empowers hospital, EMS and Fire, and billing/accounts receivable (AR) teams to deliver morefrom better patient outcomes to operational efficiencies and greater revenue capture. Our business exists to help save more lives through data-driven innovation and interoperability, opening new pathways for our customers to achieve the highest levels of care, collaboration, and reimbursement.Job TypeRemoteJob SummaryThis position is responsible for validating and entering patient and insurance information into proprietary billing software. The ideal candidate will be well-versed in billing guidelines, insurance guidelines, and responding to patient and insurance inquiries. The medical biller will also be responsible for maintaining patient confidentiality and accurately inputting patient data.Essential FunctionsEnsure patient demographic information is accurate and completeUtilize customer hospital systems or approved vendors to research and obtain/verify patient demographic informationValidate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity)Verify patient name is consistent on all documentsVerify date of service, loaded miles, locations in software align with dispatch/clinical documentationVerify insurance eligibility and follow coordination of benefits guidelinesResearch new payor information and follow new payor request processRequest missing patient information from facility or by contacting patient or legal representativeRequest retro-authorization and follow up with payorsUpload documents into software applicable to patient chartFollow federal and state billing guidelinesInput demographic information to billing software and/or payor portalInitiate paper and electronic claims to payorsDocument all actions taken in both clinical and billing softwareResolve electronic claim rejectionsFollow fair debt collection practices when contacting patients on past due accountsReview self-pay accounts to determine if all collection efforts have been exhaustedResolve payor specific validations in billing software prior to claim submissionProcess return mail by researching and validating new demographic information and restarting patient statement cycleRequired/Preferred Education and ExperiencePrefer one year in medical billing field but not requiredKnowledge, Skills and AbilitiesAbility to speak confidently to insurance representatives and patientsExperience in billing 1500 and UB04 claim formsUnderstanding of non-contracted and contracted payer behaviorsAbility to adapt in a fast-paced work environment and ability to change tasks based on priority or direction from managementKnowledge of medical termsAbility to work independentlyAbility to analyze and make informed decisionsMaintains professional personal appearanceAbility to interact professionally on all levelsAble to analyze problems and provide feedback to management on strategy for efficient solutionsInitiative required to learn company organization and proceduresAdhere to company HIPAA confidentially and privacy compliance policies, business and professional ethics, Employee Handbook, and company/department policies and proceduresExperience using Microsoft OfficePDF (formatting and editing in Adobe Acrobat or equivalent)Position requires HS or GED equivalentType 45 wpm, 10-key by touchAbility to operate office equipmentCompensation for this position starts at $18/HR. Final compensation will be determined by various factors such as a candidates relevant work experience, skills, certifications, and location.If you would like to be considered for this role, we are asking that all applicants please apply by the end of the day on Friday, May 17th.Physical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Standing - OccasionallyWalking - OccasionallySitting - ConstantlyTalking - OccasionallyHearing - OccasionallyRepetitive Motions - FrequentlyZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.by Jobble

Keywords: Zoll Medical Corporation, Broomfield , RCM Medical PreBilling Specialist, Healthcare , Broomfield, Colorado