Remote Medicare Billing Specialist
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
The Remote Medicare Billing Specialist at Aspirion is responsible for managing medical claims, including billing, claims investigation, and denial resolution. This role is crucial in ensuring accurate and timely reimbursement from third-party payers, while also providing excellent customer service and adhering to HIPAA regulations. The position offers opportunities for professional growth within the revenue cycle industry, emphasizing teamwork and individual accountability.
Responsibilities
• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
,
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
,
• Obtain claim status via the telephone, internet, and/or fax.
,
• Review and understand eligibility of benefits.
,
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
,
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
,
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
,
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
,
• Identify contractual and administrative adjustments.
,
• Work independently or as a member of a team to accomplish goals.
,
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
,
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
,
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
,
• Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
,
• Interact with all levels of staff.
,
• Cross train in multiple areas and perform all other duties as assigned by management.
Requirements
• High School Diploma or equivalent.
,
• Bachelor's degree preferred, or equivalent combination of education, training, and experience.
,
• Prior experience in Insurance follow-up, claims processing, or medical billing preferred.
,
• Prior experience with Medicaid claims preferred.
,
• Write grammatically correct routine business correspondence.
,
• Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc.
,
• Speak clearly and distinctly on the phone with exceptional etiquette.
,
• Collaborate with others on projects and/or special assignments.
,
• Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate.
,
• Work independently and follow-through on assignments with minimal direction.
,
• Analytical skills and the ability to make appropriate decisions independently.
,
• Complete heavy workload within established time frames.
,
• Proficient in Microsoft Word, Excel and other desktop software.
,
• Problem solver with the ability to identify issues, provide feedback and follow-up to resolution.
,
• Encourages team members to deliver their best performance, providing expertise and direction when applicable.
,
• Demonstrates ability to learn new systems and processes.
,
• Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy.
Nice-to-haves
• Experience with medical billing software.
,
• Knowledge of HIPAA regulations and compliance.
Benefits
• Unlimited opportunities for advancement.
,
• Full benefits package including health, dental, vision, and life insurance upon hire.
,
• Matching 401k.
,
• Competitive salaries.
,
• Incentive programs. Apply tot his job
The Remote Medicare Billing Specialist at Aspirion is responsible for managing medical claims, including billing, claims investigation, and denial resolution. This role is crucial in ensuring accurate and timely reimbursement from third-party payers, while also providing excellent customer service and adhering to HIPAA regulations. The position offers opportunities for professional growth within the revenue cycle industry, emphasizing teamwork and individual accountability.
Responsibilities
• Submit electronic and hard copy billing and conduct follow up with third party carriers for insurance claims.
,
• Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
,
• Obtain claim status via the telephone, internet, and/or fax.
,
• Review and understand eligibility of benefits.
,
• Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative and follow up activities in a fast-paced environment.
,
• Conduct research, contact patients, and the local affiliates to include VA, Hospitals, and insurance carriers.
,
• Handle incoming and outgoing mail, scanning, and indexing documents and handling any other tasks that are assigned.
,
• Research and verify insurance billing adjustment identification to ensure proper account resolution and act when necessary.
,
• Identify contractual and administrative adjustments.
,
• Work independently or as a member of a team to accomplish goals.
,
• Demonstrate excellent customer service, communication skills, creativity, patience, and flexibility.
,
• Follow established organization guidelines to perform job functions while staying abreast to changes in policies.
,
• Correspond with hospital contacts professionally using appropriate language while following the specific facility and department protocol.
,
• Uphold confidentiality regarding protected health information and adhere to HIPAA regulation.
,
• Interact with all levels of staff.
,
• Cross train in multiple areas and perform all other duties as assigned by management.
Requirements
• High School Diploma or equivalent.
,
• Bachelor's degree preferred, or equivalent combination of education, training, and experience.
,
• Prior experience in Insurance follow-up, claims processing, or medical billing preferred.
,
• Prior experience with Medicaid claims preferred.
,
• Write grammatically correct routine business correspondence.
,
• Speak on a one-on-one basis using appropriate vocabulary and grammar to obtain information, explain processes, etc.
,
• Speak clearly and distinctly on the phone with exceptional etiquette.
,
• Collaborate with others on projects and/or special assignments.
,
• Prioritize assignments to complete work in a timely manner, adjusting as circumstances dictate.
,
• Work independently and follow-through on assignments with minimal direction.
,
• Analytical skills and the ability to make appropriate decisions independently.
,
• Complete heavy workload within established time frames.
,
• Proficient in Microsoft Word, Excel and other desktop software.
,
• Problem solver with the ability to identify issues, provide feedback and follow-up to resolution.
,
• Encourages team members to deliver their best performance, providing expertise and direction when applicable.
,
• Demonstrates ability to learn new systems and processes.
,
• Effective organizational time-management and detail oriented skills to handle multiple tasks and ensure accuracy.
Nice-to-haves
• Experience with medical billing software.
,
• Knowledge of HIPAA regulations and compliance.
Benefits
• Unlimited opportunities for advancement.
,
• Full benefits package including health, dental, vision, and life insurance upon hire.
,
• Matching 401k.
,
• Competitive salaries.
,
• Incentive programs. Apply tot his job