Duration: Contract-to-hire opportunity. 1040 total hours, with an opportunity for conversion to permanent after completing 1040 hours worked from the start date if meeting attendance and performance expectations.
Location: 100% Remote
Schedule:
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Regular Hours: Monday-Friday, 40-hour work week, 8-hour days.
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Training Period: Monday-Friday, Central Time (CT) 8am-4:30pm.
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Post-Training Schedule: Dependent on assigned region/facility.
Compliance Requirements:
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Background check
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Education Verification (high school diploma/GED required)
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Drug Screening (9-panel, including THC)
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HIPAA training
Pay Rate: $16-21/hour, depending on experience.
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Patient Information Management:
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Review mom and baby hospital face sheets to confirm and update medical record numbers and patient identity for EMR submission.
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Pull patient face sheets from hospital systems, compare information with face sheets, and enter data into the patient billing system (demographics, medical records numbers, insurance information).
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Insurance Verification:
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Perform insurance verification, correct discrepancies, and add referring providers using GMPS.
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Validate CPT codes from providers by emailing physicians for verification.
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Communication and Documentation:
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Compose emails to providers to confirm information on medical records and validate missing CPT codes.
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Notify patients, guarantors, family members, physicians, and/or supervisors of insurance coverage issues, documenting all information in the computer system.
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Maintain positive customer service and refer unresolved issues to the appropriate supervisor.
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Reconciliation and Compliance:
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Complete daily and weekly hospital admission reconciliations.
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Initiate medical record requests with the coding department.
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Verify required signatures on legal consents and insurance forms, and add/edit insurance information.
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Confirm insurance coverage and benefits using real-time eligibility software, mapping insurances to the correct plan codes.
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Enter/edit data in the computer and thoroughly document any incomplete admissions/registrations as prescribed.
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Review Physician's orders (Service date, CPT/DX codes) for unbilled encounters, ensuring all required information is listed.
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Demonstrate knowledge of all Federal, State, and Local laws pertaining to insurance rules and regulations.
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Comply with all safety regulations, policies, and procedures as defined by the customer.
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Log into hospital systems to pull patient face sheets and compare patient information before entry into the billing system.
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Work heavily in GMPS for insurance verification, correcting discrepancies, and adding referring providers.
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Validate CPT codes from providers and verify codes by emailing physicians.
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Compose emails to providers to confirm information on medical records and validate missing CPT codes.
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Complete daily reconciliation (census for hospitals).
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Initiate medical record requests with the coding department.
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Obtain insurance plan codes from payer portals if RTE is not provided.
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Experience: At least 1 year of recent patient access experience.
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Technical Skills: Tech-savvy with a strong ability to navigate computers and learn software.
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Work Environment: Quiet, dedicated, distraction-free home workspace that is HIPAA compliant.
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Insurance Knowledge: Understanding of insurance payers (HMO, PPO, verification of eligibility).
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Multi-tasking: Experience working in at least five systems on a day-to-day basis.
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Remote Work: Previous experience working remotely is highly preferred.
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Background check
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Drug screening (9-panel, including THC)
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Education Verification (high school diploma or equivalent required)
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HIPAA training