Job description

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.

• Ensuring performance, production and quality targets are met or exceeded.
• Identifying, resolving and escalating major issues and service failures that impede daily operations.
• Building and maintaining a high-performance team that is committed to delivering quality and timely service and promoting GetixHealth as a premier service organization; and
• Helping to ensure the protection of GetixHealth customers through both individual and team compliance with regulatory, legal and audit standards.

 Maintains knowledge of healthcare requirements and practices under the responsibility of GetixHealth and our Clients’ Corporate Compliance program(s).
 Understands and follows all federal, state, and local healthcare requirements, as well as GetixHealth’s policies and procedures

Collection efforts for Workers’ Compensation Insurances, which include experience with Commercial and Government Insurance companies, Adjusters, Employers, Attorney’s, Doctor’s offices or Patients

• Ability to perform inventory analysis and assign work lists to representatives
• Responsible for assisting project supervisors identifying and resolving inventory backlogs
• Review Fee Schedules and contracts to determine correct reimbursement for each account
• Familiar with local payers and State Insurance Funds
• Submit written appeals for underpayments and denials 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.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• No weekends

Supplemental pay types:

• Bonus pay

Experience:

• Workers' compensation: 1 year (Preferred)
• workers comp claims: 1 year (Preferred)
• Insurance claims: 1 year (Preferred)

Work Location: Remote

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