Connect America

Medical Billing and Coding

• Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers.
• Obtaining and entering Medicaid authorizations accurately and timely to ensure clean claims are released
• Reviewing claims for the accuracy of procedures, diagnoses, demographic and insurance information
• Obtaining and entering equipment upgrades and correspondence from the payer agencies
• Reviewing and correcting all claims/charge denials and edits that are communicated via Explanation of Benefits (EOB) and other methods of communication
• Monitoring days in Accounts Receivable and ensuring that they are maintained at the levels expected by management
• Communicating proactively of any billing issues identified
• Timely follow-up on billing and claims discrepancies as communicated by the payer.
• Reading and interpreting insurance Explanation of Benefits
• Responding to inquiries from agencies, case managers, insurance companies, and internal customers in a timely manner
• Regularly attending monthly staff meetings and in-house training events
• Additional duties and responsibilities as required and or assigned.

Medical Billing Specialist

Representative

• Handle inbound and outbound calls
• Providing excellent customer service
• Requesting authorizations for all State funded/Medicaid type agencies
• Follow up on any outstanding authorizations or prebilling issues by either Using websites or portals
• Out bound phone calls, emails or faxes
• Data Entry- client information as needed into different portals
• Support to other team members when/where is needed
• Scanning documents
• Communicating daily numbers along with any delays in deadlines with the Supervisor
• Maintain confidentiality of all information with the Business office
• Perform other duties assigned by the Supervisor Manager

Medical Billing Specialist

Authorization Representative