[Hiring] Medical Bill Processor REMOTE USA
Position: Medical Bill Processor
Date posted: 2025-03-10
Industry: other
Employment type: Full Time
Experience: 2 to 3 year
Qualification: Bachelor’s Degree is required
Location: Bethesda, MD, United States, REMOTE
Company: Synectics Inc
Description:
Medical Bill Processor
About the job
Description
- Remote Medical Bill Processor, you will work from your home office and ensure Center Health Program members’ medical claims are paid timely and in accordance with Program Regulations and Guidelines.
- You will work with utilization review (UR) nurses to identify the most appropriate treatment based on industry standards and Program-related conditions.
- In this process, you will use our proprietary claims processing system containing clinical edits.
- Keys pre-coded billing data into the system.
- Identifies and escalates complex bills per documented guidelines.
- Codes provider bills in accordance with claims management system notes and program guidelines
- Compares provider network status and qualifications with service provided.
- Performs other duties as assigned.
- Supports the organization’s quality program(s).
- Position starts as data entry to gain knowledge of the program and system and once quality and production is met, we move on to processing claims.
Qualifications
- High School diploma or GED required.
- Good knowledge of claims
- One (1) year of general office experience or equivalent combination of education and experience required.
- Knowledge of medical terminology is preferred.
- Prior medical bill review preferred.
- Excellent oral and written communication
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Good interpersonal skills
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Claims processing knowledge, data entry and if they have coding knowledge would be a plus as well.
- Days: Monday – Friday, for Training Shift 8 AM – 4:30 PM Eastern Time, Once candidate finishes training, their hours will be flexible as some staff prefer to start at 6:30 am or 7:00 am – we are flexible after training
Benefits
Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. remiums are subsidized by Synectics.
Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.
Vision Insurance: Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first enrollment date that is at least 30 days after employment begins. Enrollment dates are each January 1st, April 1st, July 1st, and October 1st.
Technical Certification Bonus: Synectics is pleased to award its employees a bonus of up to $500 for an approved professional certification. In determining the bonus amount, Synectics will consider the cost of the test(s) for any certification relating to your current position, achieved during your employment with us. Only one Certification Bonus per calendar year may be awarded per employee. Only current, active employees will be eligible to receive this bonus. It will be awarded 90 days after the Synectics office has received documentation confirming the successful completion of the certification.
