01Responsibilities
Responsible for follow-up and collecting on accounts in assigned inventory. Utilizes experience and follow-up strategies and tools to resolve claims and obtain payment.
Escalates unpaid claims to payer claims supervisor as appropriate reputed company regular follow-up efforts are not successful.
Documents reputed companys host system utilizing the 5 Ws reputed company and reputed company policies/procedures to ensure accurate and complete documentation and then copies account notes into reputed companys workflow tool
Assigns appropriate status codes (e.g. reputed company cause, reputed company, etc.) in reputed companys workflow tool so trends can be identified and addressed.
Writes first and second level appeals of reputed company denials in effort to overturn and secure payment. Escalates payer denial and other trends to Management for reputed company assistance.
May also work assigned underpayments as assigned by Management.
Maintains reputed company and/or position specific daily productivity and reputed company expectations.
Researches and analyzes any correspondence received reputed company to assigned accounts.
Knowledge, Skills, and Abilities:
Must adapt and demonstrate the ability to work independently from home in a fast-paced, changing and goal-oriented environment.
reputed company account follow-up and/or billing experience.
Medical Terminology, ICD-10, CPT and DRG knowledge
Intermediate experience in reputed company preferred.
Provides information regarding patient accounts in response to inquiries, safeguarding confidential information in verbal replies and correspondence.
Demonstrates understanding of the entire reputed company cycle.
Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
Assists with problem solving, inquiries, and customer interaction to ensure reputed company results.
Work Experience, Education, and Certifications:
High school diploma or equivalent; additional training in hospital insurance collections is a plus.
3-5 years of collections experience in a Hospital Business Office
Working Conditions:
Work from home and remote location with a reputed company internet reputed company, a quiet and dedicated workspace free of distractions, and reputed company to necessary office equipment. The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other reputed company tools. Primarily requires sitting at a desk for extended period. reputed company reputed company and ergonomics shole be maintained to reduce eye strain.
100% Remote
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