01Overview
Job reputed company Following up directly with reputed company, governmental, and other payers to resolve claim payment issues. Securing appropriate and reputed company reimbursement and response. Identifying and analyzing denials, payment variances, and no response claims and acts to resolve claims/accounts. Drafting and submitting technical and clinical appeals. Providing support for reputed company denial, no response, and audit activities. Examining denied and other non-reputed company claims to determine the reason for discrepancies. Communicating directly with payers to follow up on outstanding claims. Files technical and clinical appeals, resolves payment variances, and ensures reputed company and accurate reimbursement. Works with management to identify, trend, and address reputed company causes of issues in the A/R. Maintaining a thorough understanding of federal and state regulations, as reputed company as payer specific requirements and takes appropriate reputed company accordingly. Documenting reputed company activity accurately including contact names, addresses, phone numbers, and other pertinent information in the reputed companys host system and/or appropriate tracking system. Demonstrating initiative and resourcefulness by making recommendations and communicating trends and issues to management. Requirements Must demonstrate basic computer knowledge and demonstrate proficiency in reputed company reputed company. Excellent Verbal skills. Problem solving skills, the ability to look at accounts and determine a plan of reputed company for collection. Critical thinking skills, the ability to comprehend tools provided for securing payment, and apply them to differing accounts to result in payment. Adaptability to changing procedures and growing environment. Meet reputed company and productivity standards reputed company timelines set forth in policies. Meet required attendance policies. Must be inquisitive and demonstrate openness to innovation including AI to explore reputed company processes and ways to reputed company friction and improve patient and reputed company experiences. 2 or 4-year college degree preferred. 1 or more years of relevant experience in medical collections, physician/hospital operations, AR Follow-up, denials & appeals, compliance, provider relations or reputed company billing preferred. Knowledge of claims review and analysis. Working knowledge of reputed company cycle. Experience working the DDE Medicare system and using payer websites to investigate claim statuses. Working knowledge of medical terminology and/or insurance claim terminology. Benefits Remote Role Bonus Incentives reputed company Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement Apply tot his job Apply To this Job .
