Billing Specialist - Remote

Optim Orthopedics is seeking a full time, remote Medicaid Billing Specialist. 

Job Requirements: 

• Utilizes the practice's email system to send and receive work related communications.
• Reviews Athena claims worklist as assigned daily and prioritize accounts based on Insurance Priority Task List.
• Documents phone calls and resolution of accounts in the PMS (Practice Management System) on the corresponding accounts.
• Works a minimum of 200 accounts per week.
• Ensures Days in AR are 45 days or lower per KZA benchmarks.
• Ensures AR >90 days is lower than 20% per KZA benchmarks.
• Ensures Net Collection percentage is 97% per MGMA benchmarks.
• Reviews carrier newsletters and updates on their web pages each month.
• Submits/uploads necessary medical records and supporting documentation to Athena for the purpose of appealing incorrectly denied claims within 24-48 hours of receipt of request.
• Identifies and resolves patient billing complaints/issues.
• Answers patient calls and document how the patient was helped in the computer.
• Participates in educational activities and monthly department meetings by being prepared to discuss specific issues related to your assignment.
• Assists other personnel in the performance of their duties as determined by department manager. Function as a relief for other personnel in the office, as appropriate and to facilitate co-workers' taking of time off.
• Prioritizes work received and complete in a timely manner.
• Communicates with department manager and/or supervisor regarding any problems.
• Maintain an organized department procedure manual which contains memorandums, updates, etc.
• Performs other work duties and assignments as required.
• Position is remote and requires self-motivation.

Optim Offers:

• Competitive Pay 
• 401K Plan
• Company Benefits
• Paid Time Off
• Holiday Pay