Main Duties
- Perform a secondary review of all invoices produced by Contract Representatives before submission to GMR contracts to ensure a high level of quality, accuracy, and consistency is maintained.
- Train Contract Representatives in accordance with departmental SOPs.
- Perform quality assurance checks and provide coaching/feedback as assigned.
- Be the secondary contact for all assigned GMR customers.
- Follow all company and department specific Standard Operating Procedures (SOP).
- Review, print, mail, and email facility invoices on a daily, weekly or monthly basis based on the terms of the contract and SOPs.
- Maintain accurate records and files related to invoices, billing, follow-up, and reporting.
- Receive and make inbound and outbound telephone calls/emails from and to facilities as necessary to obtain billing information and payment.
Other Duties
- Assist in special facility AR projects.
- Attend all client meetings prepared, and able to present data and answer questions.
- Manage and track all work, information, and documents in company provided software.
- Build relationships with internal and external customers.
- Ability to work overtime as needed.
- Perform other duties as assigned.
- Adhere to all company policies and procedures.
- Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures, attend Information Systems security training, and report information systems security problems if identified.
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QUALIFICATIONS
Education
- High School diploma or general education degree (GED) required.
- Associate degree or technical certification in medical billing preferred.
Experience/Skills
- Minimum of one year experience in medical billing; knowledge of Medicare, Medicaid, and regulations is preferred.
Abilities
- Ability to learn quickly and monitor progress to ensure deadlines are met.
- General understanding of ambulance billing and all service levels.
- Working knowledge of all CMS DRG/PPS guidelines.
- Working knowledge of contracts and comprehension of contract terms, rates, billing address, timely filing terms, etc.
- Maintain consistent communication with colleagues and management.
- Communicate effectively, (both orally and in writing) in English.
- Use appropriate grammar and punctuation in written documents.
- Ability to handle and prioritize multiple tasks.
- Maintain punctual attendance in compliance with all associated policies.
- Intermediate to advanced skill level in MS Office applications.
- Maintain confidentiality at all times in accordance with HIPAA guidelines.
- Reliable and team-oriented, with excellent interpersonal skills.
- Type 45 wpm and 10-key by touch.