'ike Group
  • Team Praxis
  • Honolulu, HI, USA

Overview

Our vision at 'ike is "Great People. Great Impact. Greater Good". Our goal is to provide the best services to positively impact our communities. Our companies complement each other while being leaders in their respective industries. We share the same core values of the spirit of excellence, courage, dream releasing, and humility, working toward the greater good. At TeamPraxis, we seek to transform healthcare communities nationwide. We do this by providing our physicians with innovative and powerful software tools to improve quality of care for their patients.

We are seeking a Medical Billing Support Specialist to join our team. In this role, you will be responsible for the overall success of the billing and collections process. You will utilize your excellent customer service skills to provide support and assistance in a professional and detailed manner. If you are service oriented, cooperative, and enjoy working in a fast-faced environment producing detailed work, we are looking for you!

Primary Responsibilities and Duties

  • Medical Claims Management: Accurate and timely processing of medical claims by retrieving/attaching support documentation and submitting claims to insurance payers. Following up on outstanding claims to maximize appropriate reimbursement.

  • Processing charges and payment batches: Entering charge and payments including receipt, preparing charges for scanning, running verification totals, and resolving missing or incomplete data.
    • Reviewing all denials and credits.
    • Balancing bank deposits from reports, including confirming payments and adjustments posted by our partnering offshore team.
    • Other miscellaneous payment posting functions necessary.
  • Monitor credit balance processing: Identifying and reviewing credits on patient accounts that are processed by offshore team.

  • Other Duties:
    • Use RCM software (ConnxtMD) to work all tasks and responses from client(s) and review active and pending tasks by offshore team(s).
    • Collaborate and communicate with offshore team(s) and inform/escalate issues.
    • Responsible for overall client accounts receivable and helps make information readily available for RCM team to maintain performance objectives/standards.
    • Serves as main point of contact for escalated or unresolved Patient Account Relations (PAR) calls needing further research. Also responds to calls generated by the PAR department.
    • Works through daily correspondences (e.g., mail, faxes, appeals, refunds, and errors) to completion.
    • Other duties as assigned or requested

Required Qualifications and Skills

  • Embodies TeamPraxis' cultural anchors: Healthy, Humble, Hungry, and Ability to Execute
  • High School Diploma or GED equivalent required
  • Managed or health care background (in Physical Therapy) preferred
  • Recent experience processing medical claims preferred
  • Understanding of pertinent regulatory guidelines such as HIPAA
  • Proficient PC skills and knowledge: Outlook, Word, Excel
  • Excellent typing and 10-key skills
  • Ability to effectively prioritize and meet deadlines
  • Must be motivated and be a self-starter
  • Demonstrates internal customer service focus
  • Ability to meet deadlines and turnaround times set by direct manager with minimal direct supervision
  • Ability to be agile in an innovative, dynamic workplace
  • Proven organizational skills and the ability to prioritize multiple tasks to meet deadlines, while maintaining a keen attention to detail
  • Proven ability to work collaboratively and professionally within a team, across an organization
  • Physical requirements: Prolonged periods sitting at a desk and working on a computer
  • Work schedule: 8:00am - 5:00pm, Monday-Friday (Flex schedule available upon manager approval)
'ike Group
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