Revenue Cycle Medical Billing Claim Status Specialist - Global Medical Response : Job Details

The Medical Billing Revenue Cycle Commercial Claims Status Specialist works with one or multiple payor sources including Commercial, Blue Cross/ Blue Shield, and Veterans Administration insurances. ESSENTIAL FUNCTIONS/ DUTIES Verifies the status of claims that have been billed to insurance on a timely basis according to the productivity guidelines for Claim Status/ Medical Records goals. Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone. Meets daily and monthly departmental production goals to ensure that the company is achieving its financial goals. Identifies, documents, and communicates trends in recurring rejections and denials to leadership. Recommends process improvements or system edits to eliminate future denials. Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines. Documents all account activity in an accurate and ti...Medical Billing, Medical, Specialist, Revenue, Cycle, Billing, Healthcare