Submitting medical billing claims, appealing denied claims, and posting reimbursement payment from payers.
Submitting medical claims to insurance companies such as Medicare, Medicaid, and Commercial insurance carriers.
Experience with insurance credentialing and timely submission of professional medical claims.
Obtaining referrals and pre-authorizations as required by insurance carriers.
Checking eligibility and benefits verification for healthcare services.
Calling insurance companies regarding any discrepancy in payments if necessary.
Identifying and billing secondary or tertiary insurances.
Ensuring the patient’s medical information is accurate and up to date.
Following and adhering to all regulations and guidelines set by state programs, and HMO/PPO.
Following up on missed payments and resolving financial discrepancies.
Helping patients develop payment plans related to outstanding balances.
Working with personal information and maintaining patient confidentiality.
Handling and answering all patient or insurance telephone inquiries.
Utilization of multiple EMR systems for demographic needs.
Posting and reconciling payments to patient ledgers.
Reviewing accounts for possible assignment to collections and making recommendations to the billing team leader.
Preparing information for the collection agency.
Performing miscellaneous job-related duties as assigned.
Requirements
A minimum of 5 years’ experience as a medical biller or similar role.
Strong customer service experience and skills.
Must have strong A/R collections experience.
Solid understanding of billing software and electronic medical records.
Must have the ability to multitask and manage time effectively.
Excellent written and verbal communication skills.
Outstanding problem-solving and organizational abilities.
Must be familiar with CPT and the latest coding guidelines.
Experience with insurance credentialing and responsible for the timely submission of professional medical claims.
Obtaining referrals and pre-authorizations as required by insurance carriers.
Checking eligibility and benefits verification for healthcare services.
Call insurance companies regarding any discrepancy in payments if necessary.
Identifying and billing secondary or tertiary insurances.
Ensure the patient’s medical information is accurate and up to date.
Follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO.
Work with personal information and maintain patient confidentiality.
Handle and answer all patient or insurance telephone inquiries.
Utilization of multiple EMR systems for demographic needs.
Comfortable working in a remote position.
Benefits
DocGo Academy gives you the clinical skill training you need to move beyond EMS and transportation.
With our Employee Equity Incentive Plan, qualified employees receive an ownership stake in DocGo.
Remote work (position listed as Remote - United States).
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingclaims submissionA/R collectionsinsurance credentialingCPT codingbenefits verificationpayment reconciliationpre-authorizationsdiscrepancy resolutionEMR systems
Soft skills
customer servicemultitaskingtime managementwritten communicationverbal communicationproblem-solvingorganizational abilitiesattention to detailconfidentialitytelephone inquiry handling