Employer Industry: Healthcare Software Solutions
Why consider this job opportunity:
- Opportunity for career advancement and growth within a fast-growing company
- Work in a dynamic environment focused on improving patient outcomes
- Supportive and collaborative work culture that values innovation and self-motivation
- Engage in meaningful work that contributes to saving lives through data-driven solutions
- Clear and concise communication emphasized for professional development
What to Expect (Job Responsibilities):
- Research and resolve claim denials following federal, state, and payor guidelines
- Identify trends related to underpayments and escalate issues to leadership as necessary
- Communicate effectively with payors and patients to gather necessary information for claim resolution
- Manage appeals, re-openings, and redeterminations as appropriate for insurance carriers
- Ensure compliance with HIPAA and manage legal/subrogation requests
What is Required (Qualifications):
- Minimum 3 years of experience in the medical reimbursement field
- High School Diploma or GED equivalent, with some college-level courses
- Proficient in MS Excel and MS Word, with skills in filtering, formatting, and editing documents
- Ability to read and understand Explanation of Benefits (EOBs) and medical terms
- Capable of typing 45 wpm and proficient in 10-key by touch
How to Stand Out (Preferred Qualifications):
- Experience with billing 1500 and UB04 claim forms
- Understanding of contracted and non-contracted payer behaviors
- Ability to interact professionally with all levels of staff and external representatives
- Knowledge of Medicare Part A vs Part B benefits and coordination of benefits
#HealthcareSoftware #MedicalBilling #CareerOpportunity #PatientOutcomes #DataDrivenInnovation
We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
#J-18808-Ljbffr
