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About the Role
Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers.
Responsibilities
- Obtain and enter Medicaid authorizations accurately and timely to ensure clean claims are released.
- Review claims for the accuracy of procedures, diagnoses, demographic and insurance information.
- Obtain and enter equipment upgrades and correspondence from payer agencies.
- Review and correct all claims/charge denials and edits communicated via Explanation of Benefits (EOB) and other methods.
- Monitor days in Accounts Receivable and ensure they are maintained at expected levels.
- Communicate proactively about any billing issues identified.
- Follow up timely on billing and claims discrepancies communicated by the payer.
- Read and interpret insurance Explanation of Benefits.
- Respond to inquiries from agencies, case managers, insurance companies, and internal customers in a timely manner.
- Attend monthly staff meetings and in-house training events.
- Perform additional duties and responsibilities as required or assigned.
Requirements
- 2+ years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement.
- Familiarity with CPT and ICD-10 coding and medical terminology.
- Strong technical skills with Excel and software, including Billing Software, MS Office, and Insurance Portals.
- High aptitude to learn new programs, system integrations, and business processes.
- Excellent customer service skills with strong written and verbal communication skills.
- Ability to manage relationships with various insurance payers and agencies.
- Strong work ethic with a proven track record of accuracy, dependability, and consistency.
- Must be able to think independently, multitask, have strong problem-solving skills, and possess a continuous improvement mentality.
- Ability to gain the cooperation of others in pursuit of company goals.
Skills
- Medical Billing
- Medicaid Reimbursement
- Managed Care Reimbursement
- CPT Coding
- ICD-10 Coding
- Medical Terminology
- Excel
- Billing Software
- MS Office
- Insurance Portals
- Customer Service
- Written Communication
- Verbal Communication
- Relationship Management
- Problem Solving
Location
- Bala Cynwyd, PA
Work Type
- Full-time
Experience Level
- 2+ years
Education Level
- Associate's Degree in Medical Billing and Coding or Accounting, preferred
About the Company
- Connect America/Lifeline has helped aging Americans and other at-risk populations live safely in their own homes for over a decade.
- The company processes over 250,000 emergency signals and data transmissions monthly and has protected over 1 million lives.
- Connect America/Lifeline is the largest independent provider of medical alert systems in North America.
- Over 1,000 provider partners and health plans trust Connect America/Lifeline.
- The organization has been named to Philly Happening’s Best Place to Work list for the past two years.
- Their award-winning customer service team was selected for the Best Service Award from Today’s Caregiver- 2019-2020.
- The healthcare division has won Top Ten Home Healthcare Solutions Provider awards over the past two years.
- Connect America/Lifeline treats all customers and team members ethically and respectfully, creating relationships built on trust.
- They work as supportive team members, developing customer solutions collaboratively.
- The company is located near Philadelphia, in Bala Cynwyd, PA.
- Learn more at www.connectamerica.com.
Equal Opportunity
- Connect America/Lifeline is a drug-free workplace and an Equal Opportunity Employer.
- We participate in the E-Verify program in our hiring practices to achieve a lawful workforce.