RCM Medical PreBilling Specialist - Broomfield, CO, United States - Zoll Medical Corporation

Description

RCM Medical PreBilling Specialist
Data Management
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.

Remote
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.
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
Research new payor information and follow new payor request process
Request missing patient information from facility or by contacting patient or legal representative
Upload documents into software applicable to patient chart
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
Prefer one year in medical billing field but not required
Experience in billing 1500 and UB04 claim forms
Knowledge of medical terms
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)
Ability to operate office equipment

Final compensation will be determined by various factors such as a candidate's relevant work experience, skills, certifications, and location.

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.