RCM Medical PreBilling Specialist
Company: Zoll Medical Corporation
Location: Broomfield
Posted on: May 2, 2024
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Job Description:
RCM Medical PreBilling SpecialistLocation: Broomfield, COData
ManagementAt 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 morefrom 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
TypeRemoteJob SummaryThis 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 FunctionsEnsure patient
demographic information is accurate and completeUtilize customer
hospital systems or approved vendors to research and obtain/verify
patient demographic informationValidate signature documents such as
AOB (Assignment of Benefits), consents, CMN (Certificate of Medical
Necessity)Verify patient name is consistent on all documentsVerify
date of service, loaded miles, locations in software align with
dispatch/clinical documentationVerify insurance eligibility and
follow coordination of benefits guidelinesResearch new payor
information and follow new payor request processRequest missing
patient information from facility or by contacting patient or legal
representativeRequest retro-authorization and follow up with
payorsUpload documents into software applicable to patient
chartFollow federal and state billing guidelinesInput demographic
information to billing software and/or payor portalInitiate paper
and electronic claims to payorsDocument all actions taken in both
clinical and billing softwareResolve electronic claim
rejectionsFollow fair debt collection practices when contacting
patients on past due accountsReview self-pay accounts to determine
if all collection efforts have been exhaustedResolve payor specific
validations in billing software prior to claim submissionProcess
return mail by researching and validating new demographic
information and restarting patient statement
cycleRequired/Preferred Education and ExperiencePrefer one year in
medical billing field but not requiredKnowledge, Skills and
AbilitiesAbility to speak confidently to insurance representatives
and patientsExperience in billing 1500 and UB04 claim
formsUnderstanding of non-contracted and contracted payer
behaviorsAbility to adapt in a fast-paced work environment and
ability to change tasks based on priority or direction from
managementKnowledge of medical termsAbility to work
independentlyAbility to analyze and make informed
decisionsMaintains professional personal appearanceAbility to
interact professionally on all levelsAble to analyze problems and
provide feedback to management on strategy for efficient
solutionsInitiative required to learn company organization and
proceduresAdhere to company HIPAA confidentially and privacy
compliance policies, business and professional ethics, Employee
Handbook, and company/department policies and proceduresExperience
using Microsoft OfficePDF (formatting and editing in Adobe Acrobat
or equivalent)Position requires HS or GED equivalentType 45 wpm,
10-key by touchAbility to operate office equipmentCompensation for
this position starts at $18/HR. Final compensation will be
determined by various factors such as a candidates 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
DemandsThe 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 - OccasionallyWalking -
OccasionallySitting - ConstantlyTalking - OccasionallyHearing -
OccasionallyRepetitive Motions - FrequentlyZOLL 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.by
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Keywords: Zoll Medical Corporation, Greeley , RCM Medical PreBilling Specialist, Healthcare , Broomfield, Colorado
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