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

Description

RCM Medical PreBilling Specialist


Location:
Broomfield, CO

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.

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 is $18.00-$20.0. 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.