Medical Billing Data Entry and Accounts Receivable (A/R) Specialist
这是一个远程职位。工作总结 RCM 员工 BPO 正在聘请全日制医疗费用数据输入和账户领取 (A / R) 专家来支持宾夕法尼亚州的医疗费用的公司。该专家将首先从纸张和扫描文件中输入患者人口统计，保险详细信息，收费以及支付到 Athenahealth 和绿色通道，然后在数据输入后清除后转向保险 A / R 跟踪和拒绝工作。这一角色需要速度与准确性，强大的 A / R 追踪技能和经验与美国健康保险计划合作。· 输入患者人口统计和保险信息从纸质和扫描来源文件到 athenahealth 和 Greenway · 输出费用，创建索赔，在提交之前检查缺失或不完整的信息 · 从 ERA,EOB 和纸张汇款进行邮寄支付和调整 · 检查保险资格和福利以支持准确的注册 ·记录缺失，不明或不完善的文档并将其转送给客户解决方案 ·通过支付者门户和电话来追踪未缴纳和未偿还保险索赔 · 研究和解决拒绝，包括纠正的索赔和上诉 ·满足客户设定的生产力和精度目标 · 清楚记录客户系统和跟踪器中的所有工作 ·保护患者信息并遵守 HIPAA 要求资格 · 在美国医疗保险和医疗费用方面的至少2年的经验 ·在保险的实践经验 A/R 后续和拒绝管理 · 收费入口，人口统计入口或支付发布的经验 ·熟悉商业保险和政府医疗计划如 Medicare 和医疗补助 · 使用支付者门户网站和保险网站的经验 •强有力的书面和语言英语 · 非常专注于细节和后续技能 · 快速，准确的打字和舒适的工作，大量纸质来源文件 · 可以独立工作并管理多个患者帐户 ·可靠的互联网连接和合适的远程工作空间 • 优先资格 · 在关键护理，麻醉或肺部支付方面有/没有经验 · 使用 athenahealth · 使用绿色通路 （Intergy 或 Prime Suite）的经验 ·熟悉宾夕法尼亚州保险计划如 Highmark,UPMC 健康计划和宾夕法纳医疗补助安排 · 全职职位 ·必须提供
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This is a remote position.
Job Summary
RCM Staff BPO is hiring a full-time Medical Billing Data Entry and Accounts Receivable (A/R) Specialist to support a medical billing company based in Pennsylvania. The specialist will start by entering patient demographics, insurance details, charges, and payments from paper and scanned documents into athenahealth and Greenway, then move into insurance A/R follow-up and denial work once the data entry backlog is cleared. This role requires speed with accuracy, strong A/R follow-up skills, and experience working with U.S. health insurance plans.
Key Responsibilities
· Enter patient demographics and insurance information from paper and scanned source documents into athenahealth and Greenway
- Enter charges and create claims, checking for missing or incomplete information before submission
- Post payments and adjustments from ERAs, EOBs, and paper remittances
- Check insurance eligibility and benefits to support accurate registration
- Log missing, unclear, or incomplete documents and route them to the client for resolution
- Follow up on unpaid and underpaid insurance claims through payer portals and phone calls
- Research and resolve denials, including corrected claims and appeals
- Meet the productivity and accuracy targets set by the client
- Document all work clearly in the client's systems and trackers
- Protect patient information and follow HIPAA requirements
Qualifications
· At least 2 years of experience with U.S. healthcare insurance and medical billing
- Hands-on experience with insurance A/R follow-up and denial management
- Experience with charge entry, demographic entry, or payment posting
- Familiarity with commercial insurance and government health plans such as Medicare and Medicaid
- Experience using payer portals and insurance websites
- Strong written and spoken English
- Excellent attention to detail and follow-up skills
- Fast, accurate typing and comfort working with high volumes of paper-based source documents
- Ability to work independently and manage multiple patient accounts
- Reliable internet connection and a suitable remote workspace
Preferred Qualifications
· A/R experience in Critical Care, Anesthesia, or Pulmonology billing
- Experience using athenahealth
- Experience using Greenway (Intergy or Prime Suite)
- Familiarity with Pennsylvania insurance plans such as Highmark, UPMC Health Plan, and Pennsylvania Medicaid
Schedule
· Full-time position
- Must be available during Eastern Time business hours
- Final schedule will be determined based on practice needs
Work Arrangement
· Remote
- Philippines-based applicants preferred
Originally posted on Himalayas