Full-Time MEDICAL COLLECTOR

Job Details

TEKsystems is looking to hire several REMOTE Medical Billers out of Indiana!
**if you have recent medical billing experience, please send your most updated resume to rsison @ teksystems.com - these applications will be reviewed first!**
Description:
Job Summary: The Provider Enrollment Analyst will be responsible for initiating, processing, and completing applications for enrollments of Indiana University Health billing providers with government and contracted commercial payers as well as managing the ongoing participation requirements. Additionally, the Provider Enrollment Analyst will apply fundamental knowledge of procedures related to identifying and performing root cause analysis to identify enrollment and claim issues.
Job duties include:
Assist in the full range of Provider Enrollment interaction (includes all actions involved in the process of enrolling with a range of payers (Anthem, Medicare, Medicaid, Delegated which includes up to 40 different payers, and risk based payers (RBMC).
Respond to enrollment research inquiries, and minimize potential revenue delays or losses
Identify, research, and resolve claims issues
Collaborate with other departments to resolve enrollment and claim issues
Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated
Maintain working knowledge of workflow, systems, and tools used in the department
Main function of job is pulling reports out of systems and tracking it into Excel. Excel is REALLY important. Small detail miss will cause error in enrollment-means miss millions of dollars, provider cannot write prescriptions, etc.
Additional Skills & Qualifications:
MUST HAVE:
- 1+ year of medical office or healthcare experience where they handle health insurance (do they understand copays and deductibles and medical terminology, etc.)
- Healthcare experience MUST be back office (not registration, customer service, scheduling, etc)
- Ability to navigate through multiple systems at once while on the computer
PREFERRED:
1+ year of medical billing experience (do they understand copays and deductables and medical terminology, etc.)
From the manager: Wants to see that candidate has "at any time during work career been responsible for production related to revenue loss. In our roles the idea candidate would have some experience in application submission of high volume and/or proficiency in excel. While registration and telephone calls are important our work is more behind the scene and the motivation isn't from having someone sitting in front of you but quite the opposite. You have to be motivated when there is no one in your presence." "I have found those who typically fail are likely not multi-taskers and become overwhelmed quickly. It helps if the candidates are able to work in excel and like an environment where they can be highly productive with experience in an production driven environment."

Skillsets that succeed:
Worked with payers in some capacity
Billing