Experienced Medicare Medical Biller Assistant

Job #10

Welcome to Rockstar Admin, where awesome people like you are the heart of everything we do!

Job Title: Experienced Medicare Medical Biller Assistant
Company Name: Rockstar Admin
Location: Remote (Philippines)

About Us:

We're not your typical company – we're a tight-knit family of elite individuals, and we're stoked to invite you into our crew. Here's the lowdown: when you join us, you're not just getting a job – you're becoming part of TWO families. Imagine working with us, the Rockstar Admin team, AND being an integral part of a top-notch Physical Therapy clinic.

But wait, there's more! We're all about structured leadership growth, and every week, we've got a 30-minute session lined up just for you. It's not your average team talk – it's an opportunity to develop skills that'll make you a true Rockstar.

At Rockstar Admin, we're big on vibes. We thrive on communication, accountability, and fostering a killer culture. We're not just colleagues; we're a squad working towards common goals, and we want you to grow and achieve big things in life.

Here's the scoop: our goal goes beyond the office. We're on a mission to build and strengthen families in the Philippines. When you come on board, you're not just joining a company – you're becoming part of a movement for positive change.

We're always on the lookout for awesome people to join our team. But here's the deal – we're picky (in a good way). We've got a straightforward hiring process, and following instructions is key. We take it seriously, and if you're not on board with that, you might miss out on some incredible opportunities. If you do not communicate back with us and do not follow directions we will put you on a list where you won't be able to apply in the future, please just follow the directions.

We're growing fast, and we're genuinely thrilled you're here. So, follow the instructions, be the Rockstar we're looking for, and let's make some waves together!

Follow these steps or your application will NOT be reviewed....

Application Process How to Apply:

To apply, please share your updated resume and a Loom video.
Your Loom video must answer the following:
- Share something about yourself
- What do you like to do for fun
- Your detailed experience related to the job ad
- How does Medicare work and what do you do at the beginning of the year when you work with Medicare

This time is used for us to get to know you. Please make sure you are NOT reading from a script, make sure your camera and speaker are working properly and you look presentable and your background is also presentable (This is a pre-interview to get accepted to the group interview with other qualified candidates, this is your time to shine and stand out.)

If you do NOT follow our direct instructions for submitting, your application will NOT be considered.

Job Summary:

As a Medical Biller, you will play a crucial role in ensuring accurate and timely processing of medical claims, reimbursement, and payments. This role requires a detail-oriented individual with a strong understanding of medical billing processes, insurance authorization and verification.

Responsibilities:

1. Pre-Authorization Process
- Initiate and facilitate the pre-authorization process for medical procedures and services.
- Communicate with insurance companies to obtain necessary approvals, submitting required documentation and
information.
- Track the status of authorization requests and follow up as needed.

2. Insurance Verification and Eligibility
- Verify patient insurance coverage and eligibility, ensuring that insurance information is accurate and up-to-date.
- Confirm and document the specifics of insurance plans, including coverage limits, co-pays, and deductibles.

3. Documentation and Compliance:
- Ensure that all documentation related to pre-authorizations is complete, accurate, and compliant with insurance
guidelines.
- Stay informed about changes in insurance policies and authorization requirements, adjusting processes accordingly.

4. Patient Communication
- Ability to Explain Medicare Benefits and Policies
- Inform patients about the authorization process, including any potential out-of-pocket costs.
- Address patient inquiries and concerns related to pre-authorizations, explaining the status and outcomes of
authorization requests.

5. Billing Coordination
- Medical Billing Expertise (A to Z billing)
- Coordinate with the billing team to ensure that authorized services are billed accurately and in a timely manner.
- Update billing systems with relevant authorization details.
- Capability to Handle Unpaid Claims

Preferred Qualifications:

- MUST speak fluent English
- MUST be experienced in using Medicare
- MUST be experienced with how to work with out-of-network insurance and provide in-network and out-of-network benefits
- Proven medical billing experience
- Detail oriented and organized
- Willing to work on Eastern Standard Time timezone (EST)

Benefits:

- Competitive salary commensurate with experience.
- Health insurance coverage in the future
- Retirement in the future
- Opportunities for professional development and growth within the company.

Application Deadline: January 2, 2024

Rockstar Team,
Thank you for following the directions to apply, we look forward to meeting you!