Charges, Payment Posting and Denials Specialist

Rimage Solutions is an IT software and Services company based in USA. We are looking to hire an experienced and senior Charges, Payment Posting and Denials Specialist for our Healthcare Services team (work from home in US shift; Eastern Time Zone, with moderately flexible hours). We invite you to apply for this position if you own a decent computer system with strong internet connection, a workspace area that can provide you the privacy, intention to work hard, and the necessary minimum skills/experience in the areas mentioned below:

1. KNOWLEDGE: Strong knowledge of US Healthcare including Medical Billing, Charge Entry, Coding, Payment Posting and Denial. You will be a liaison between Insurance companies referred to as Payors and the Physician office staff in the US.

2. EXPERTISE: You will play a vital role as a senior team member in data management of healthcare records of the Physicians, payment posting, and issue resolution. Other team members will contact you for issue resolution.

3. COMMUNICATION: Proficiency in spoken and written English is a must. You will be expected to be able to talk with Insurance companies, client medical offices and coworkers. You will be expected to be able to write emails or appropriate notes in the medical record system.

4. DOCUMENTATION: We expect you to be able to document transactions and communication within the electronic medical record system and emails. We expect you to be able to compose complete sentences with the accuracy and detail needed, and without grammatical errors.

5. EXPERIENCE: Minimum 4 years of experience in full-cycle medical billing industry. We expect you to know what you are doing independently and without direct supervision. Knowledge of eClinicalWorks and Practice Fusion.

6. APTITUDE: Ability to make sound decisions without supervision, problem solving, and a knack for finding solutions are key in this role. Coordinate with the other remote teams in following the processes.

7. RESEARCH: We expect you to be able to provide accurate product/ service information to the customer, research available documentation including authorization, notes, record requests, medical documentation on client's systems, interpret explanation of benefits received, etc. in advance.

Your specific role and responsibilities will include:

1. COMMNICATION: Emails/Calls with payors, provider offices and team members.

2. BACK OFFICE: Directly or indirectly work on or work with other departments in the company (in India and USA) to resolve issues and mentor them in areas of eligibility issues, charge entry, payment posting issues (manual or auto), denials, patient balances, ageing, authorizations, adjustments, client expectations, other duties assigned by management, etc.

3. WORK HOURS: US Shift, with flexibility to work in mixed shift hours on some days.

4. REPORTING: Provide regular daily status updates and daily work summary to supervisor.

5. REGULATIONS: Understand and follow HIPAA and US-Healthcare requirements. Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement.

If you do not have the strong and relevant experience in these fields, please do not apply as this is not an internship position, and we expect that you know the necessary aspects of USAs medical back-office operations. We encourage you to study our requirements in detail before applying.

Compensation: negotiable based on your experience and skills. If this opportunity excites you then feel free to apply and clearly indicate your compensation expectations.

How to be ahead of others: If you are confident that you have the skills and experience for this position, please attach a recent resume with details of prior work, any certifications that you may have, your LinkedIn profile link, and your VIDEO PROFILE. Describe on the video (in English) why we should hire you and not anyone else.

Ancillary Duties and Responsibilities

• Exhibit professional excellence, teamwork and integrity.
• Maintain a positive work atmosphere.
• Maintain production levels ensuring quality of work is above average.
• Maintain a better than average attendance score.
• Performs other duties and tasks as assigned, depending on work schedules and priorities.

Desired Candidate Profile

Our ideal candidate is one who knows the medical back-office operations, and all aspects of medical billing (like payment posting, denials, ICD/CPT codes, authorizations, insurance eligibility verifications, etc.). Knowledge of electronic medical records systems like eClinicalWorks and Practice Fusion and experience in processing medical claims is a plus.

Education: College graduation is required; we care more about your experience, skills, proficiency in English and sincerity at work.

Work Shift and Hours: Monday Friday. US shift. Extra compensation if the candidate is willing to work on Saturdays.

Perks and Benefits

- Work from home (hybrid shift, as assigned to you)

- Moderately flexible hours

- Accrued PTO (after completing 1 year)

- Salary inclusive of all benefits (direct funds transfer from US bank to your bank)

- Structured annual review process