Global Medical Response, Inc.

Medical Claims Status Specialist (Work from Home)

Requisition ID
2021-18281
Location
US-UT-South Jordan
Employment Type
Regular Full-Time
Company : Name
Guardian Flight, LLC

Job Description

***NEW $1,000 SIGN ON BONUS PAYABLE AFTER 90 DAYS OF EMPLOYMENT***

*WORK FROM HOME OPPORTUNITY AFTER INITIAL 60-90 DAY TRAINING PERIOD*

Monday-Friday with flexible hours 8:00 AM – 6:00 PM

 

Our mission of providing care to the world at a moment's notice is at the heart of everything we do. We are caregivers, first and foremost, and we will be there when you need us.

With more than 38,000 employees, Global Medical Response teams deliver compassionate, quality medical care, primarily in the areas of emergency and patient relocation services around the world. We provide end-to-end medical transportation as well as fire services, integrated healthcare solutions and disaster response.

 

JOB SUMMARY

The Medical Claims Status Specialist must have experience working with one or multiple payer sources, such as Medicare, Medicaid and Commercial Insurances.  The successful candidate will have effective communication skills and an eagerness to verify the status of each claim after it has been submitted to insurance.  All tasks must be performed in a timely and accurate manner in accordance with Billing Office practices, policies and procedures.


JOB DUTIES

  • Verifies the status of claims that have been billed to insurance on a timely basis according to the productivity guidelines for the Claim Status goals.
  • Makes claim inquiries via online portals, telephone, email, etc. and multitasks on accounts when holding over the phone.
  • Meets daily and monthly departmental production goals set forth by the Supervisor to ensure that the company is achieving its financial goals.
  • Proactively communicates rejections and denials to A/R Follow Up and Billing staff with A/R.
  • Identifies, documents, and communicates trends in recurring rejections and denials to Supervisor.  Recommends process improvements or system edits to eliminate future denials.
  • Pursues unpaid accounts by telephone or electronic inquiry to determine status of payment in accordance with department follow-up timelines.
  • Comprehensively documents all account activity in an accurate and timely manner for all touches made on any patient account.
  • Other duties as assigned.

 

QUALIFICATIONS

Education/Credentials:

  • 1+ years of experience in a Medical Billing environment is preferred.
  • High School education, prefer some college or specialty training in medical billing or equivalent in job relevant experience.

 

DEMONSTRATED JOB-RELATED SKILLS/COMPETENCIES:

Successful candidate will be able to work independently and in a fast paced team environment, be able to communicate verbally and in writing, and perform at a high quality in a high volume setting. Most importantly, he or she must possess the skills to conduct self in a professional manner at all times.

 

WORKING CONDITIONS AND PHYSICAL REQUIREMENTS

The working conditions as well as physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

  • Regularly required to reach with hands and arms; speak and hear
  • Frequently required to sit for long periods of time
  • Occasionally required to stand and walk
  • Talk/hear – must be able to communicate, detect, converse with, convey, express oneself, exchange and process information independently
  • Adequate concentration/Memory skills
  • Ability to comprehend and understand information
  • Ability to take constructive feedback
  • Meet project deadlines
  • Interpersonal communication skills
  • Ability to apply good judgment
  • Decision making
  • Ability to take direction

COVID-19 PRECAUTIONS/CONSIDERATIONS

  • Face mask requirements for unvaccinated individuals
  • Increased sanitizing procedures
  • Virtual interview process

 

GUIDING VALUES AND BEHAVIORS

Employee must consistently exhibit our guiding principles:

  • Patient Care - We continually earn the privilege to care for our patients. It is at the forefront of everything we do.
  • One Team - We respect each other and achieve together what no individual can alone.
  • Innovation - We are driven to develop solutions that inspire progress.
  • Vigilance - We will never waver in our commitment to safety and preparedness in the fulfillment of our duties.
  • Ownership - We are accountable for what we do and take pride in how we do it.
  • Citizenship - We are dedicated to being good stewards in the communities we serve.

 

EEO Statement

 

Global Medical Response is an equal opportunity employer and as such, affirms in policy and practice to recruit, hire, train and promote, in all job classifications without regard to race, color, religion, gender, age, sexual orientation, gender identity, national origin, disability status or status as a protected veteran. Reasonable accommodation will be provided for qualified individuals with disabilities and disabled veterans in job application procedures.

 

This document in no way constitutes a contract of employment.  This description is not intended to be an exhaustive listing of all skills, duties, or responsibilities associated with the job.  Management reserves the right to revise the job, or to require that other or different tasks be performed, should circumstances change (i.e., changes in personnel, workload, or technological development)

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