• Medicare Billing Specialist

    System One (San Antonio, TX)


    Medicare Billing Specialist

     

    Remote

     

    Contract: 6 months

     

    Compensation: $22 hourly

     

    Contractor Work Model: Remote

     

    Hours: Full time, Monday- Friday 8 am – 4:30 pm MST (30 minute clocked out lunch)

     

    System One is seeking a detail-oriented and proactive Medicare Patient Accounts Specialist to join our dynamic team. In this role, you will play a crucial part in ensuring the accuracy and efficiency of our Medicare claims processing. Your expertise will help us resolve unpaid or underpaid system debit balances, contributing to the overall success of our organization.

    Responsibilities:

    + Research, initiate follow-up, and resolve all unpaid or underpaid system debit balances on Medicare insurance claims; Actions include but are not limited to remit and EOB review, calling payer(s) and clinics, rebilling claims, navigating payer portals, and taking adjustments in the billing system

    + Uses critical thinking, problem-solving and analytical skills to determine the root cause of our underpayments and follow appropriate documented policy and procedure to remediate

    + Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of Medicare claims

    + Uses exceptional organization, written, and verbal communication skills to produce detailed documentation of research and actions taken on claims

    + Stay current on communication relating to healthcare reimbursement and regulatory changes

    + Develop and maintain positive working relationships with clinical personnel, teammates, and payer representatives

    + Works well under pressure in a fast-paced environment, meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude

    + Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and company policies

    + Consistent and punctual attendance as scheduled is an essential responsibility of this position

    Qualifications:

    + High school diploma or equivalent (GED)

    + Proficiency in Microsoft office tools such as Outlook, Word, PowerPoint, Excel, and OneNote

    + Excellent and demonstrated written and verbal communication skills

    + Computer competency; typing, basic computer troubleshooting, and navigation

    + Ability to problem solve and critically think root cause analysis

    Preferred Qualifications:

    + Healthcare experience; insurance or revenue cycle is a plus!

    + Insurance claim collections experience

    #M1

    #LI-EB1

    Ref: #270-IT Orlando

     

    System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

     

    System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.