RCM Medical PreBilling Specialist
Broomfield, CO 
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Posted 6 days ago
Job Description
Data, ZOLLMED.com

At 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 more-from 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 Type

Remote

Job Summary

This 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 Functions

  • Ensure patient demographic information is accurate and complete
  • Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information
  • Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity)
  • Verify patient name is consistent on all documents
  • Verify date of service, loaded miles, locations in software align with dispatch/clinical documentation
  • Verify insurance eligibility and follow coordination of benefits guidelines
  • Research new payor information and follow new payor request process
  • Request missing patient information from facility or by contacting patient or legal representative
  • Request retro-authorization and follow up with payors
  • Upload documents into software applicable to patient chart
  • Follow federal and state billing guidelines
  • Input demographic information to billing software and/or payor portal
  • Initiate paper and electronic claims to payors
  • Document all actions taken in both clinical and billing software
  • Resolve electronic claim rejections
  • Follow fair debt collection practices when contacting patients on past due accounts
  • Review self-pay accounts to determine if all collection efforts have been exhausted
  • Resolve payor specific validations in billing software prior to claim submission
  • Process return mail by researching and validating new demographic information and restarting patient statement cycle


Required/Preferred Education and Experience

  • Prefer one year in medical billing field but not required


Knowledge, Skills and Abilities

  • Ability to speak confidently to insurance representatives and patients
  • Experience in billing 1500 and UB04 claim forms
  • Understanding of non-contracted and contracted payer behaviors
  • Ability to adapt in a fast-paced work environment and ability to change tasks based on priority or direction from management
  • Knowledge of medical terms
  • Ability to work independently
  • Ability to analyze and make informed decisions
  • Maintains professional personal appearance
  • Ability to interact professionally on all levels
  • Able to analyze problems and provide feedback to management on strategy for efficient solutions
  • Initiative required to learn company organization and procedures
  • Adhere to company HIPAA confidentially and privacy compliance policies, business and professional ethics, Employee Handbook, and company/department policies and procedures
  • Experience using Microsoft Office
  • PDF (formatting and editing in Adobe Acrobat or equivalent)
  • Position requires HS or GED equivalent
  • Type 45 wpm, 10-key by touch
  • Ability to operate office equipment

Compensation for this position starts at $18/HR. Final compensation will be determined by various factors such as a candidate's 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 Demands
The 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 - Occasionally
  • Walking - Occasionally
  • Sitting - Constantly
  • Talking - Occasionally
  • Hearing - Occasionally
  • Repetitive Motions - Frequently


ZOLL 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.

 

Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
1+ years
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