GetixHealth is hiring customer service remote positions the following locations:
AL, AZ, CA, FL, IL NM, PA TX WA, Salary Starts at $15.00 - $20.00 per hour.
GetixHealth is a healthcare Extended Business Office (EBO) and Business Process Outsourcing (BPO) GetixHealth provides comprehensive management and extended business office services to Healthcare Providers of all shapes and sizes.
Position Summary Assist patients with billing questions and issues. The ideal candidate will have customer service and collections experience. All remote employees must complete and submit an internet speed test prior to starting. Position Responsibilities:
Maintain diplomacy when addressing matters escalated.
Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
Responsible for meeting monthly goals and quality standards through efficient and accurate work processes.
Review open accounts to determine and take appropriate actions through understanding charges, billed claims, payments, denials, adjustments, and refunds.
Respond to verbal and/or written inquiries in a timely manner.
Process all correspondences with adherence to the Health Insurance Portability and Accountability Act (HIPAA) guidelines where applicable.
Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
Knowledge, understanding, and compliance with company policies and procedures.
Maintain knowledge of functional areas and company policies and procedures.
Provide feedback to management concerning possible problems or areas of improvement.
Make recommendations to implement improved processes.
Perform other duties as assigned by management.
Education and Experience:
High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.
Previous customer service and healthcare receivables experience preferred.
Understanding of health insurance providers, Workers' Compensation, Medicare, Medicaid, and liability claims processes and contracts.
Ability to maintain the highest level of confidentiality.
Proficient personal computer skills.
Excellent interpersonal, written, and oral communication skills.
Ability to prioritize and organize work.
Ability to adapt to a flexible schedule.
AL,AZ,CA, FL IL NM,PA TX WA
Position Summary Assist patients with billing questions and issues. The ideal candidate will have customer service and collections experience. All remote employees must complete and submit an internet speed test prior to starting. Position Responsibilities:
Maintain diplomacy when addressing matters escalated.
Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
Responsible for meeting monthly goals and quality standards through efficient and accurate work processes.
Review open accounts to determine and take appropriate actions through understanding charges, billed claims, payments, denials, adjustments, and refunds.
Respond to verbal and/or written inquiries in a timely manner.
Process all correspondences with adherence to the Health Insurance Portability and Accountability Act (HIPAA) guidelines where applicable.
Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
Knowledge, understanding, and compliance with company policies and procedures.
Maintain knowledge of functional areas and company policies and procedures.
Provide feedback to management concerning possible problems or areas of improvement.
Make recommendations to implement improved processes.
Perform other duties as assigned by management
Education and Experience:
High School Diploma or General Educational Development (GED) certificate or equivalent in relevant work experience desired.
Previous customer service and healthcare receivables experience preferred.
Understanding of health insurance providers, Workers' Compensation, Medicare, Medicaid, and liability claims processes and contracts.
Ability to maintain the highest level of confidentiality.
Proficient personal computer skills.
Excellent interpersonal, written, and oral communication skills.
Ability to prioritize and organize work.
Ability to adapt to a flexible schedule.
Work Environment
AL,AZ,CA, FL IL NM,PA TX WA
This is a work from home position approved after meeting Internet Speed Test requirements. Assisting patients with insurance verification and performance of assigned duties including scheduling patient clinical services and necessary pre-registration requirements which may include obtaining complete and accurate patient demographics, benefits eligibility, pre-certification approvals from insurance companies and physician offices. Essential Duties & Responsibilities
Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties.
Document pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company.
Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed.
Responsible for securing authorizations and documenting all pertinent information (i.e.): Insurance, Ordering information, Physician information, Tax ID, CPT, HCPCS and ICD 10 codes. Documentation must include, authorization status, authorization number, ordering procedures, verified from, dates approved for and any other pertinent information.
Responsible for meeting all patient registration goals in a timely manner to ensure time sensitive requirements are obtained.
Working knowledge of Protected Health Information (PHI), HIPPA.
Personally responsible, respect for self and others, innovative through teamwork, dedication to caring and excellence in customer service.
Able to successfully schedule procedures through the identification of available times, establish accurate scheduling records and verify patient demographic and insurance information.
Responsible for accurately obtaining and entering proper procedure or diagnosis codes into scheduling system.
Obtains and accurately completes ABN or MSP forms, when applicable.
Obtains complete and accurate insurance information and completes insurance verification by contacting patients, physician offices and insurance/payer regarding the visit.
Works according to standard operating procedure during ADT/system downtimes.
Reviews work and ensures accuracy, particularly patient type, code identification, insurance and demographic information to minimize error rate and time delays in clinical and billing departments.
Assists patients, as needed, to ensure compliance with the payer’s requirements for reimbursement.
Responsible for assessing financial responsibility, resources, and/or referring patients for financial counseling, if necessary, based on the individual’s financial condition according to charity policy.
Responsible for communicating with patients regarding patient financial responsibilities before or at time of service. Informs patients on billing process for facility and providers.
Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties.
Perform other duties as assigned by management.
Education:
High School Diploma or General Education Development (GED) certificate or equivalent in relevant work experience desired.
Associate or Bachelor’s Degree in Business, Financial/HealthCare related field preferred.
Experience:
1 year experience in Patient Access, Patient Financial Services, or previous experience in a hospital or physician’s office required. 2-3 years related experience preferred.
Knowledge, Skills, Abilities & Other Characteristics:
Excellent written and oral communication skills required
Must be able to multitask, coordinating more than one event at a time.
Must be able to type 35+ wpm.
Must be able to demonstrate knowledge of hospital billing requirements and the documentation necessary to satisfy those requirements.
Experience/knowledge of: medical terminology, data entry, computer skills, admitting, business office, cash collections, physician office interactions and working with public preferred.
Customer Service/Patient Relations – displaying professionalism.
Working knowledge of Protected Health Information (PHI), HIPPA.
Must possess a detailed understanding and knowledge of insurance guidelines and protocols, components of full verification, and payer information/requirements.
Exhibits competency in the use of all registration systems, electronic verification tools, and Web-Based resources.
Maintains a basic understanding of the medical necessity screening process and appropriate systems.
Bilingual preferred.
Ability to work in a team fostered environment.
Ability to prioritize and organize work.
JOB TITLE: Insurance Biller & Follow-up Representative LOCATION: Puyallup, Washington ESSENTIAL DUTIES AND RESPONSIBILITIES: The GetixHealth Insurance Representative role is responsible for:
Collection efforts for Primary, Secondary, or Tertiary Insurances, which include calling Commercial and Government Insurance companies, Doctor’s offices or Patients
Ability to perform inventory analysis and assign worklists to representatives
Responsible for assisting project supervisors in identifying and resolving inventory backlogs
Review Managed Care contracts to determine correct reimbursement for each account
Submit written appeals for underpayments to Insurance companies
Resolution of accounts in a timely manner
Documenting accurate and appropriate notes on corresponding systems as needed
Accurate and timely billing of UB-04 or HCFA 1500 claims.
Understands CPT4, ICD9 and HCPC coding.
Outgoing correspondence (internal or external) must be written in a clear, concise, and professional manner
Return all phone calls within 24 hours of receipt of message
Responsible for editing patient insurance information on accounts in accordance with the Insurance Carrier Change Policy and Procedure.
Utilizes payer provider instruction manuals and bulletins, hospital policy and procedures, and other resource material to gain information to bill "clean" claims
Maintains knowledge of payer requirements and practices under the responsibility of and our Clients’ Corporate Compliance program(s).
Understands and follows all federal, state, and local payer-billing requirements.
Performs other related job duties as required.
The functions described in this position will be responsible to ensure that healthcare accounts assigned from the client are billed and paid both accurately and timely. These functions are performed in accordance with applicable laws and regulations and GetixHealth’s, policies and procedures.
KEY WORKING RELATIONSHIPS: Successful accomplishments and primary accountabilities of this position will depend upon establishing and maintaining effective working relationships with a variety of people both inside and outside of the functional area. Such people may include but are not limited to interdepartmental leadership, education and development, the patient, client hospital staff, government, insurance company representatives, vendors, compliance, finance, decision support, and contact management as well as GetixHealth’s officers, senior management and staff.
ESSENTIAL POSITION EDUCATION, EXPERIENCE, COMPETENCIES AND REQUIREMENTS:
Two years experience with hospital or physician medical billing and follow up.
Medical experience, either practical or classroom knowledge needed.
Proven understanding of the medical revenue cycle.
Demonstrated excellent verbal, written and interpersonal communication skills.
Demonstrated knowledge of HIPAA rules and regulations.
Attention to detail
Good attendance record
Proven ability to work collaboratively in a team environment
Demonstrated ability to perform work in alignment with company mission and values.
Proven PC proficiency in MS Office Suite Applications.
Education: High School Diploma or GED
SALARY RANGE: Depends on experience HOURLY/SALARY: Hourly position SHIFT: Must be able to work any 8 hr. shift, Monday – Friday 6:00 AM – 6:00 PM and occasional Saturdays.
Summary:
This is a temporary assignment lasting approximately 4 months. The temporary employee will be use Data Entry skills to ensure that all healthcare accounts assigned are worked both accurately and timely. These functions are performed in accordance with applicable laws and regulations, as well as in compliance with all policies and procedures. Responsibilities:
Assisting in maintaining inventory within assigned queue with no backlogs and ensuring daily productivity standards of assigned accounts are met.
Update insurance eligibility and coverage benefits on assigned accounts in order to support hospital billing of clean claims to insurance companies.
Accurately and update patient / insurance demographics
Assist on special projects as assigned, such as missing payment research, etc.
Documenting accurate and appropriate notes on corresponding systems as needed.
Performs other related job duties as required.
Education, Experience and Competencies, Requirements:
Ability to work remotely
Knowledge of healthcare insurance benefits, eligibility and patient liability conditions.
Intermediate skills in Microsoft Office (Word, Excel, Outlook)
Hospital Patient Accounting System knowledge preferred (EPIC and/or Artiva)
Description Follow up on billed insurance claims to facilitate payment. Identify and obtain all necessary information and documentation and prepare claims for insurance billing. Principal Responsibilities
Follow-up with insurance companies on billed claims regarding claim status and resolution of payments in a timely manner.
Thoroughly review all notes in patient accounts for potential insurance benefit eligibility.
Access client systems to determine insurance eligibility and filing status in order to prepare claims for billing.
Request necessary documents from client to perform insurance billing.
Responsible for accurately tracking payments and payment verifications.
Contact patients when additional information is required to complete billing.
Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
Knowledge, understanding, and compliance with company policies and procedures.
Provide feedback to management concerning possible problems or areas of improvement.
Make recommendations to implement improved processes.
Perform other duties as assigned by management.
Education and Experience
High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
Previous insurance/medical billing/customer service experience preferred.
Epic experience preferred
Proficient personal computer skills, including Microsoft Office.
Excellent interpersonal, written, and oral communication skills.
Ability to work in a team fostered environment.
Ability to prioritize and organize work in a multitasked environment.
Ability to adapt to a flexible schedule.
Ability to maintain the highest level of confidentiality.
Position Summary
Primary function is the daily performance of all billing and coding procedures using speed and accuracy, using the IDS workflow system using the computer system.
Position Responsibilities
Internet savy to do research on new procedures and payable diagnosis info
Read EOB’s and decipher accounting functions
Verify insurance eligibility and benefits
Secondary function is to assist patients with obtaining payments from insurance companies
Obtaining correct insurance information and updating accounts
Preparing charts with correct billing information
Correcting problem accounts from hold reports, edits and master audits
Patient and Client phone calls, some A/R functions
Miscellaneous billing projects and other tasks as assigned
Knowledge of medical terminology, CPT & Diagnosis & Modifiers
Work shift/ hours assisted and without immediate supervision
Must be flexible, self-starter, team player that takes initiative and is innovative
Able to follow through and be detailed oriented while maintaining confidentiality
Able to meet deadlines and quotas
Openly communicate
Other duties as assigned
Education and Experience
High school diploma or college degree from an accredited college or university
Excellent verbal and written skills
Strong organizational & analytical skills are preferred
Excellent interpersonal communication skills
Excellent customer service orientation skills are preferred
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