Employer Industry: Healthcare Software Solutions
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient outcomes
- Work with innovative technologies that enhance operational efficiencies
- Engage in meaningful work that contributes to saving lives
What to Expect (Job Responsibilities):
- Research and determine claim denials and take appropriate actions for payment within federal, state, and payor guidelines
- Identify consistent payor or system trends that result in underpayments, denials, or errors
- Escalate claim issues with payors when appropriate and meet with leadership to discuss reimbursement obstacles
- Determine when an appeal, reopening, or redetermination should be requested and take appropriate actions
- Respond to written and verbal inquiries from patients regarding their accounts and process charity and payment plans
What is Required (Qualifications):
- Minimum of 3 years in the medical reimbursement field
- Ability to read and understand Explanation of Benefits (EOBs)
- Proficient in MS Excel, MS Word, and PDF formatting
- High School Diploma or GED equivalent, with some college-level courses
- Ability to type 45 wpm and knowledge of medical terms
How to Stand Out (Preferred Qualifications):
- Experience in billing 1500 and UB04 claim forms
- Understanding of non-contracted and contracted payer behaviors
- Ability to speak confidently to insurance representatives and patients
- Experience operating office equipment
- Knowledge of HIPAA and multiple state guidelines
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.
#J-18808-Ljbffr
