Billing Associate

Job Title: Billing Associate

Pay Rate: $23 -$25 per hour

Location: Remote - United States

Employment Type: Per Diem

Full-Time Benefits: Medical, Dental, and Vision (with company contribution), Paid Time Off, 401k 

About CRMS by DocGo

CRMS by DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. CRMS by DocGo disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. CRMS by CRMS by DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, CRMS by DocGo empowers the full promise and potential of telehealth by facilitating healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with CRMS by DocGo's integrated Ambulnz medical transport services, CRMS by DocGo is bridging the gap between physical and virtual care. 

Job Summary

The Billing Associate is responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgement. As a Billing Associate, your daily duties may include submitting medical billing claims, appealing denied claims, and posting reimbursement payment from payers. This position requires the ability to problem solve and work on multiple tasks at the same time.

Duties/Responsibilities:

• A medical biller is responsible for submitting medical claims to insurance companies such as Medicare, Medicaid, and Commercial insurance carriers.
• Experience with insurance credentialing, and responsible for the timely submission of professional medical claims.
• Obtaining referrals and pre-authorizations as required by insurance carriers.
• Checking eligibility and benefits verification for healthcare services.
• Call insurance companies regarding any discrepancy in payments if necessary.
• Identifying and billing secondary or tertiary insurances.
• Must possess in-depth knowledge of medical billing and medical insurance policies.
• Ensure the patient’s medical information is accurate and up to date.
• Follow up on missed payments and resolve financial discrepancies.
• Help patients develop payment plans related to outstanding balances.
• Follow and adhere to all regulations and guidelines set by state programs, and HMO/PPO
• Work with personal information and maintain patient confidentiality.
• Handle and answer all patient or insurance telephone inquiries.
• Utilization of multiple EMR systems for demographic needs.
• Answering phone calls from patients and insurance companies.
• Other task as assigned.

Required Experience, Qualifications and Skills:

• A minimum of 5 years’ experience as a medical biller or similar role.
• Strong customer service experience and skills.
• Must have strong A/R collections experience.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.
• Must be familiar with CPT and the latest coding guidelines.
• Should be comfortable to be a part of the team and work in a team environment.
• Comfortable working in a remote position.
• Posts and reconciles payments to patient ledgers.
• Reviews accounts for possible assignment to collections and makes recommendations to the billing team leader.
• Prepares information for the collection agency.
• Performs miscellaneous job-related duties as assigned.

EEO/AAP Statement:  DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences.  DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position.  As the nature of business demands change so, too, may the essential functions of the position.