Countrywide Medical is Hiring Specialist for Account, Appeals and Billings

Countrywide Medical is Hiring for the following Permanent Work From Home positions (ALL GRAVEYARD SHIFT):

1. (5) Account Receivables Specialist Salary: starts at 30,000

• At least 2 years of experience in a medical campaign is a must.
• Must have work experience with US medical insurance company
• Good English Communications Skills
• Experience working claims insurance process follow-ups and different type of denials.
• Experience handling correction of claims and resubmission.
• Can read and understand the explanation of benefits and how to identify incorrect denial.
• Knowledge of common medical coding and guidelines.
• Post denials and transfers as needed
• CAN START ON MONDAY, MAY 10 2021

2. (3) Appeals Specialist Salary: starts at 30,000

• Review charts and claims for accuracy
• Minimal 2 years of experience in a medical-appeal related background
• Must have work experience with US medical insurance companies such as Medicare, Medicaid and Commercials (United Health Group, WellCare, Anthem (Blue Cross, Blue Shield), Humana, Medicaid, Kaiser Permanente, etc.)
• Familiar with different insurance web portals such as Availity, CCX, UHC, Navinet,etc.
• Experience on logging, tracking, and processing appeals.
• Be able to conduct pertinent research in order to evaluate, respond to, and close appeals.
• Assure timeliness and appropriateness of all Provider appeals accordingly.
• With experience working claims insurance process follow-ups and different type of denials.
• With experience handling correction of claims and resubmission.
• Can read and understand the explanation of benefits and how to identify incorrect denial.
• Knowledge of common medical coding and guidelines.
• CAN START ON MONDAY, MAY 10 2021

3. Billing and Collections Specialist Salary: starts at 22,000

• Must have billing background
• Can read and understand the explanation of benefits and how to identify denials (non-covered, pharmacy benefit only, etc.. ) and patients financial responsibilities (Co-Payments, Co-Insurances, Deductibles)
• Coordinates and takes care of the billing details of the patients
• Handles Insurance incoming calls
• Issues invoices, handles payments, processes credit cards
• Answers to queries of the patients
• Updates financial records
• Offers financial assistance to patients, hardship, special discount, special price
• Processes cash orders payments by phone
• Posts patient payments as needed
• Must have excellent customer service skills dealing with patient calling both inbound/outbound.
• Must have collections experience dealing and explaining invoice details and handling disputes and payment processing over the phone. skills, patience and computer knowledge
• Excellent verbal and written communication skills
• CAN START ON MONDAY, MAY 10 2021

TECHNICAL REQUIREMENTS (non negotiable):

• Dual monitor
• USB noise cancellation headset
• A quiet workspace
• at least i3 processor or higher
• at least 8gb RAM or higher
• Windows 10 operating system
• at least 20mbps internet speed
• PC must be free from malware or viruses

NOTE: Only shortlisted candidates will be contacted. Please note that INTERVIEWS WILL BE DONE AT NIGHT VIA ZOOM.