Revenue Cycle Specialist - Appeals
Full Job Posting
Work Schedule: Full-Time, Non-Exempt
- SUMMARY
- The Revenue Cycle Specialist – Appeals is responsible for performing all aspects of billing and follow-up activities related to Medicare.
- ESSENTIAL DUTIES AND RESPONSIBILITIES
- · Prepare and submit all billings expeditiously.
- · Respond to phone and mail inquiries from Medicare.
- · Conduct all follow-up activities including handling all correspondence for appeals and fair hearings.
- · Process all denials to maximum benefit.
- · Adhere to all company policies and procedures.
- · Assure that customer problems are handled properly and promptly.
- · Process and review assigned queues on a daily basis.
- · Review and advise Medicare Supervisor of any and all changes in Medicare regulations or requirements and any issues related to Medicare billing.
- · Input claim data information on a daily basis.
- · Balance journals periodically.
- · Ensure compliance of guidelines provided by Government related agencies and Corporate policies.
- · Pass Quality Assurance audits with an accuracy rate of 95% or better.
- MINIMUM QUALIFICATIONS
Minimum of one (1) year medical billing experience
Experience with ambulance coding and appeals is highly preferred
Knowledge of HCPCS is preferred
Prior work experience performing Medicare billing, follow-up, and knowledge of Medicare terminology is highly preferred
Involvement with Medicare, Medicaid, HMO, and PPO appeals process if preferred
Must be able to work cooperatively in a team atmosphere
EDUCATION
High school diploma or GED required
College courses in psychology, communications, business, and/or health services is preferred
Why Choose AMR? AMR is one of Global Medical Response ’s (GMR) family of solutions. Our GMR teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services. View the stories on how our employees provide care to the world at www.AtaMomentsNotice.com .
GMR’s Core Behaviors —keep care at the center, raise your hand, seek to understand, find a way together and be accountable—unite our teams and set us apart in emergency medical services.
Global Medical Response and its family of companies are an Equal Opportunity Employer, which includes supporting veterans and providing reasonable accommodations for individuals with a disability.
Check out our careers site benefits page to learn more about our benefit options.
About Global Medical Response
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