Salud Revenue Partners Hiring for Medical Billing Representative at Remote Full Time

Salud Revenue Partners (Salud) is a technology-enabled service company with leadership and a high-performance culture that partners with healthcare providers nationwide to improve their revenue cycle performance.

Our vision is to be a national model for the delivery of revenue cycle services. We are at the forefront of innovation, applying next-generation process automation and artificial intelligence to focus on the most productive work to help healthcare organizations resolve difficult accounts receivable, find gold in zero balance accounts, achieve the highest coding accuracy, and carry out patient-centered solutions to self-pay.

At Salud Revenue Partners, you can work for an organization dedicated to your employee development as well as delivering unparalleled results for our customers. We give staff objectives, exceptional training, and technology-enabled resources to accomplish goals – and then set them free to get the job done. We encourage fresh ideas and a collaborative approach to delivering industry-leading solutions to clients.

What do our staff say about Salud? The percentages below are from our Employee Survey in July 2022:

• 98.5% of our employees strongly agree/agree with the statement “My job is important to the mission and purpose of Salud.”
• 97.7% of our employees strongly agree/agree with the statement “I would recommend Salud to prospective clients.”
• 97.0% of our employees strongly agree/agree with the statement “Overall, I am satisfied with my job.”
• 96.2% of our employees strongly agree/agree with the statement “I would recommend Salud to prospective employees.”

Summary/Objective

The Medical Billing Representative position bills insurance companies for all hospital and physician bills; pursues collection of all claims until payment is made by responsible parties; purses uncollected monies from insurance companies through zero balance audits; and performs other work associated with the billing and collection process.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prepares and submits medical claims to third-party insurance carriers either electronically or by hard copy.
• Follows up with third-party insurance carriers and patients until claims are paid.
• Monitors claims for missing information and authorization/control numbers.
• Reviews accounts that are at a zero balance to analyze if money was left uncollected by clients. If under-collection is identified, files appeal to collect underpayment.
• May be called upon to serve as a representative in meetings and communications with clients and payers.
• Looked upon to serve as a lead in a specific billing area.
• Secures needed medical documentation required or requested by third party insurances.
• Processes rejections by either generating a letter of rejection to patient or correcting any billing error and resubmitting claims to third-party insurance carriers.
• Works with coders to ensure that correct diagnosis/procedures are reported to third party insurance carriers.
• Notify patients when claims have not been paid after time frames in established accounts receivable policy.
• Keeps updated on all billing and benefit changes for third-party insurance carriers.
• Knowledge of governmental billing regulation and guidelines.
• Ability to bill Inpatient and Outpatient governmental and commercial claims.
• Audit accounts to ensure that appropriate payments are paid by responsible parties.
• Posts third-party insurance remittance vouchers and all other forms of payment.
• Maintains confidentiality of all information.
• Completes work within authorized time to assure compliance with departmental standards, including meeting production and quality standards.
• Demonstrates knowledge of, and supports, both client’s and Salud’s mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Performs other duties as required.

Competencies

• EPIC experience preferred
• Stress Management/Composure
• Results Driven
• Technical Capacity
• Problem Solving/Analysis
• Customer/Client Focus
• Teamwork Orientation
• Collaboration Skills
• Time Management
• Communication Proficiency

Supervisory Responsibility

This position has no supervisory responsibilities.

Work Environment

This job operates in a professional cubicle office environment or in a secure home office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.

We are looking to fill this position with a candidate who resides in one of the following states: Alabama, Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, New Jersey, North Carolina, North Dakota, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or West Virginia.

Job Type: Full-time

Pay: $14.50 – $23.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Application Question(s):

• Are you willing to have a background check completed prior to employment?
• Do you have a secure home office that you can work from?

Education:

• High school or equivalent (Preferred)

Experience:

• Physician Medical Billing: 2 years (Preferred)
• Facility Medical Billing: 2 years (Preferred)

Work Location: Remote