Medical Billing Specialist (GSD)

About this role

About the Company

At Connect America/Lifeline, we have helped aging Americans and other at-risk populations live safely in their own homes for over a decade. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.

Connect America/Lifeline is the largest independent provider of medical alert systems in North America. More than 1,000 provider partners and health plans in the U.S. trust Connect America/Lifeline as the safe choice for delivering the right care at the right time. Our organization has been named to Philly Happening’s Best Place to Work list for the past two years, and our award-winning customer service team has been selected as Best Service Award from Today’s Caregiver- 2019-2020. Additionally, our healthcare division has won Top Ten Home Healthcare Solutions Provider awards over the past two years.

At Connect America/Lifeline, we treat all our customers and team members ethically and respectfully, creating relationships built on trust. We work as supportive team members, developing customer solutions in a collaborative manner. If you are dedicated, compassionate, and a team player, come be a part of a company that makes a positive difference in the lives of those we serve.

Our headquarters are located close to the city of Philadelphia, in Bala Cynwyd, PA.

Learn more at www.connectamerica.com.

Purpose

The purpose of the Medical Billing Specialist role is to:

Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers.

Job Duties and Responsibilities

Obtaining and entering Medicaid authorizations accurately and timely to ensure clean claims are released

Reviewing claims for the accuracy of procedures, diagnoses, demographic and insurance information

Obtaining and entering equipment upgrades and correspondence from the payer agencies

Reviewing and correcting all claims/charge denials and edits that are communicated via Explanation of Benefits (EOB) and other methods of communication

Monitoring days in Accounts Receivable and ensuring that they are maintained at the levels expected by management

Communicating proactively of any billing issues identified

Timely follow-up on billing and claims discrepancies as communicated by the payer.

Reading and interpreting insurance Explanation of Benefits

Responding to inquiries from agencies, case managers, insurance companies, and internal customers in a timely manner

Regularly attending monthly staff meetings and in-house training events

Additional duties and responsibilities as required and or assigned.

Skills and Qualifications:

Associates Degree in Medical Billing and Coding or Accounting, preferred

2+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement

Familiarity with CPT and ICD-10 coding and medical terminology

Strong technical with Excel, software, including, but not limited to: Billing Software, MS Office, and Insurance Portals

High aptitude to learn new programs, system integrations, and business processes

Excellent customer service skills with strong written and verbal communication skills.

Ability to manage relationships with various insurance payers and agencies

Strong work ethic with proven track record of accuracy, dependability and consistency

Must be able to think independently, multitask, have strong problem solving skills, and have a continuous improvement mentality.

Ability to gain the cooperation of others in pursuit of company goals

Connect America/Lifeline is a drug-free workplace and an Equal Opportunity Employer. We participate in the E-Verify program in our hiring practices to achieve a lawful workforce.

Originally posted on Himalayas