Apply for a Position | MedCycle Management

Medicare Billing Specialist

MedCycle Management, LLC is actively looking for a Medicare Biller. The candidate will conduct the following duties:

Processes daily billing for Medicare IP and OP services including: Verifying Medicare eligibility and coverage
Analyzing each claim for accuracy and completeness
Submitting claims to Medicare
Cleaning up aged claims for billing and payment

Job Requirements

Knowledge of Medicare Part A & B Billing
Knowledge of Medicare DDE system
Knowledge of ICD9, HCPCS coding, medical terminology
Knowledge of reimbursement & regulatory protocols to ensure compliance with external regulations regarding patient billing

Assist reconciliation at month end close
Manages multiple accounts at the same time and work with the other Billing Analysts on the team to balance workload to address changing priorities
Maintain familiarity with hospital billing policies and changes that pertain to the Center of Medicare Services (CMS)
Perform Accounts Receivable/Collections functions on past due balances
Minimum 2 years’ experience in Medicare claims

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Customer Service Rep

Job Description: Qualified professionals to assist in with self-pay collection activity. In this role you will work with a hospital’s or physician group’s central business office in order to assist patients with billing statements and taking payment over the phone. Responsible for negotiating payment arrangements, collecting insurance information and explaining EOB’s. Not all inclusive.

Position Responsibilities:

Initiates proactive measures that result in account resolution.
Responds timely and accurately to all incoming correspondence and inquiries from insurance companies, and other appropriate parties.
Initiates contact with patient, as necessary.
Initiates recommendations and action plans for resolving accounts.
Responds to all phone calls in an efficient and courteous manner.
Writes appropriate notes in system for every account, including any action taken.
Appropriate follow up and systems processes following MedCycle guidelines.
Reviews EOB’s to ensure that appropriate steps are taken in resolving accounts.

Job Requirements:

Be proficient in Microsoft applications including Outlook, Word and Excel.
Detail oriented and able to research accounts to bring it to an appropriate account resolution.
Knowledgeable of Medical Terminology and a basic understanding of insurance processes.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited information is provided.

Preferred Experience:

High school diploma or general education degree (GED); or one to three years related experience and/or training; or equivalent combination of education and experience.
A medical background with experience in patient financial services is preferred.
Previous Customer Service experience preferred.

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Account Resolution: Commercial/Government Payers

Our dedicated team of account resolution specialists has decades of experience meeting the unique demands of commercial and government payers, including Medicare, Medicaid, HMOs, and the new Affordable Care Act (ACA) exchanges. Our automated workflows, coupled with our unmatched expertise in denials management, help to expedite follow-up and assure accurate, thorough, and timely reimbursement.

Customer-focused, process-driven work flow
Performance analytics/measurements
Seamless communications, addressing patients and payers in your name
Dedicated staffing to match your internal policies, procedures and requirements
On-site support to free you and your staff from account responsibility

Account Resolution: Self-Pay

Our patient-liability team works hard to extend the quality of care you offer your patient throughout the entire account resolution process. We provide compassionate customer service every step of the way and offer solutions designed to expedite cash flow and reduce bad debt.

Stratified work flow based on multiple criteria to ensure maximum coverage
Multiple dialer technologies deployed (auto vs predictive dialer campaigns)
Customer-defined hours of operation (nights and weekends) to maximize contacts
Customer-focused, process-driven work flow
Dedicated resources with on-site support
Seamless and invisible to patients and providers

Senior Account Executive

FULL TIME

Responsibilities:

Develop a deep understanding of FMG product & content capabilities.
Commit to a high activity sales culture, executing a minimum of 5 in-person meetings per week with VP/Director level contacts and an additional 7-10 meetings per week with media teams and multi-cultural agencies.
Procure proposals/homework assignments from each meeting and commit to an innovative follow up strategy (next day on submission etc).
Work collaboratively with all levels of staff within our National Sales, Copy Writers, Product, and Marketing teams.
Use FMG’s Sales CRM (Netsuite) for meeting, follow-up and notes.
Detailed account history and organization is required.

Qualifications & Skills: BA / BS degree

5+ years of sales experience
Strong track record in achieving goals with outstanding execution and problem solving skills, resourcefulness, and creativity
Strong sales, negotiation, account management, follow-up, and time management skills are essential
Highly responsible, self-motivated, and able to thrive in an energetic, fast-paced, creative environment
Creative, idea oriented sales person who can manage multiple campaign facets seamlessly
Strong work ethic and ability to work effectively and independently while being collaborative with support teams in NY
Hands-on, consistently completes tasks, dependable, and proactive
Full understanding of appropriate next steps
Operates with a sense of urgency, focus, and discipline
Excellent communication skills (written, verbal, presentation, and interpersonal)

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Medicare Billing Specialist

FULL TIME

Customer Service Rep

FULL TIME

Timothy W. Schmitt, Jr

PARTNER

Highly driven, performance focused executive with over 19 years experience in healthcare both in the A/R management and healthcare IT services arenas. T.J. has served in business development, client services and operational roles with SPI Healthcare, Attorneys Healthcare, Beacon Partners and started his healthcare revenue cycle career in 1998 at Ingram & Associates where he spent 8+ years working his way up through healthcare’s revenue cycle. He continues to maintain a strong reputation among customers and industry leaders. Versatile executive with experience in operations and business development.

Eric J. Currie

PARTNER / PRESIDENT

An entrepreneur at heart, Eric’s healthcare experience began at Dixon Hughes, offering accounting and advisory analysis. In 2005, he joined Ingram & Associates. His tenure with MiraMed, a privately-held company offering off-shore support to healthcare providers and vendors, deepened his industry knowledge and his commitment to offering real results for his clients.

Jim L. Fitzsimmons

PARTNER

A seasoned revenue cycle professional, Jim has developed and implemented solutions for hospitals faced with challenging political and financial situations. He was CEO and a founder of Ingram & Associates, LLC, a revenue cycle management company specializing in early-out, self-pay, bad debt collections, insurance follow-up, and coding.