What are the responsibilities and job description for the Billing Specialist position at TEKsystems?
*Description*
Primary responsibilities will include submitting claims, posting payments, working payor rejections and denials, and completing follow ups to ensure accurate and timely processing and payment, following all applicable compliance and regulatory processes, payer guidelines, and internal policies and procedures.
*Ensure timely and accurate billing of claims via electronic or paper to Medicare, Medicaid, and Commercial Insurances in accordance with policy using primarily Niko Health claim submission software and Salesforce.
*Work with all payers to ensure medical claims are being processed timely and paid accurately.
*Analyze and post EOB payments and denials in all billing systems, ensuring correct processing and payment. Determine root cause and prevention of future rejections & denials, advising management and appeals team where necessary.
*Route claims and/or balances that are deemed uncollectible to Financial Patient Responsibility Review or Write Off Queues timely and appropriately.
*Assist and communicate effectively with our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible.
*Able to Identify process improvement opportunities and recommend potential solutions to improve departmental workflow.
*Assist with any other duties or projects on an as needed basis.
*Maintain regular and punctual attendance.
*Comply with all company policies and procedures, HIPAA and all state and federal regulations.
*Must meet or exceed production & quality KPI standards.
*Skills*
Customer service, medical billing
*Top Skills Details*
Customer service,medical billing
*Additional Skills & Qualifications*
*A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing.
*Ability to take direction and communicate effectively with customers and employees at all levels of the organization.
*Ability to thrive in a fast-paced and dynamically changing organization.
*Must have strong work ethic.
*Excellent oral and written communication skills required.
*Strong attention to detail
*Ability to prioritize and manage daily responsibilities effectively
*Solutions-oriented problem solver
*Excellent planning, communication and organizational skills.
*2 years of Medicare, Medicaid and/or Commercial Insurance experience, particularly in HME, highly preferred.
*Intermediate knowledge/proficiency in Microsoft Office products and Salesforce, highly preferred.
*A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities, required.
*Experience Level*
Entry Level
*Pay and Benefits*
The pay range for this position is $22.00 - $24.00
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position will be accepting applications until Jan 31, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Primary responsibilities will include submitting claims, posting payments, working payor rejections and denials, and completing follow ups to ensure accurate and timely processing and payment, following all applicable compliance and regulatory processes, payer guidelines, and internal policies and procedures.
*Ensure timely and accurate billing of claims via electronic or paper to Medicare, Medicaid, and Commercial Insurances in accordance with policy using primarily Niko Health claim submission software and Salesforce.
*Work with all payers to ensure medical claims are being processed timely and paid accurately.
*Analyze and post EOB payments and denials in all billing systems, ensuring correct processing and payment. Determine root cause and prevention of future rejections & denials, advising management and appeals team where necessary.
*Route claims and/or balances that are deemed uncollectible to Financial Patient Responsibility Review or Write Off Queues timely and appropriately.
*Assist and communicate effectively with our patients, doctors, customers, and coworkers with billing inquiries at the highest-level support possible.
*Able to Identify process improvement opportunities and recommend potential solutions to improve departmental workflow.
*Assist with any other duties or projects on an as needed basis.
*Maintain regular and punctual attendance.
*Comply with all company policies and procedures, HIPAA and all state and federal regulations.
*Must meet or exceed production & quality KPI standards.
*Skills*
Customer service, medical billing
*Top Skills Details*
Customer service,medical billing
*Additional Skills & Qualifications*
*A comprehensive understanding of Medicare, Medicaid, and/or Commercial Insurance program rules as it pertains to DME billing.
*Ability to take direction and communicate effectively with customers and employees at all levels of the organization.
*Ability to thrive in a fast-paced and dynamically changing organization.
*Must have strong work ethic.
*Excellent oral and written communication skills required.
*Strong attention to detail
*Ability to prioritize and manage daily responsibilities effectively
*Solutions-oriented problem solver
*Excellent planning, communication and organizational skills.
*2 years of Medicare, Medicaid and/or Commercial Insurance experience, particularly in HME, highly preferred.
*Intermediate knowledge/proficiency in Microsoft Office products and Salesforce, highly preferred.
*A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities, required.
*Experience Level*
Entry Level
*Pay and Benefits*
The pay range for this position is $22.00 - $24.00
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*
This is a fully remote position.
*Application Deadline*
This position will be accepting applications until Jan 31, 2025.
About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Salary : $22 - $24
