MedScope, a division of Medical Guardian is a rising leader in the medical alarm industry, seeks a seasoned Revenue Cycle Specialist with health insurance claims experience to fill a role in the Billing Department. In this role, you will use our customized system in tandem with other applications to send recurring monthly claims and invoices, receive payments, and respond to denials of payment with the goal of resubmitting for payment. You will also perform monthly/quarterly payment audits, analyze the reasons for denied payments or returned claims, and work toward resolution. Ability to analyze data and think critically a must.
This is a full-time, remote position requiring a daily schedule of 9:00am-5:00pm EST.
Permanent residency in one of the following states is required: PA, DE, GA, MI, NC, TX, NJ, and FL only.
Key Duties and Responsibilities:
- Monthly submission of invoices/claims, electronic and on paper, in large and small batches.
- Payment application through our customized system.
- Review and examination of non-paid invoices/claims, to work through the denial resolution process for resubmission or other appropriate resolution.
- Month end reporting and analysis of accounts, large and small, including deciphering the reason(s) for invoices that are open and unpaid after aging for 90 days.
- Audit accounts for payment and analyze the reason(s) that payment has been denied.
- Phone work as needed, including customer interactions and receiving payments over the phone via credit card.
- Proficiency in the Microsoft Office suite of applications required.
- Strong analytical and mathematical skills.
- Intelligent individual with excellent oral and written communication skills.
- Critical thinking - ability to decipher when things are missing or incorrect.
- Accurate and organized with the ability to multitask.
- Friendly phone demeanor - will be in direct contact with customers and referring sources.
- Must be able to work both independently and collaboratively on a small team, and be accustomed to working with deadlines.
- Punctual and reliable with a professional appearance and demeanor.
Desired Experience:
- Associate or bachelor’s degree (preferred) in healthcare or a related field; high school diploma required.
- 1+ years of previous revenue experience.
- Billing/coding certification preferred.
- Coursework or experience with medical billing, 1500 claim forms, service authorizations, or previous experience with billing in a medical office.
- Experience with Medicaid and Managed Care Organization a plus.
- Health Care Plan (Medical, Dental & Vision)
- Paid Time Off (Vacation & Public Holidays)
- Short Term & Long Term Disability
- Retirement Plan (401k)
Top Skills
What We Do
Medical Guardian is a leader in connected care, revolutionizing how older adults age in place through innovative medical alert systems. Our mission is to empower our customers to live a Life Without Limits. Whether they’re looking for an in-home system, mobile device or wearable medical alert smartwatch, Medical Guardian has the product that will fit their lifestyle and needs.
Founded in 2005, Medical Guardian has grown exponentially to become a leading provider of personal emergency response systems. In 2018, Medical Guardian was ranked in the Inc. 5000 Fastest-Growing Private Companies in America list for the sixth consecutive year, with a three-year revenue growth of 156%. It was also ranked #23 in the Philadelphia 100 and #7 in Philadelphia Business Journal’s Soaring 76.
Our success comes from our dedication to providing best-in-class service because we know that we are doing more than selling medical alert devices; we’re helping older adults nationwide take the next chapter of their life—head-on.
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