Insurance AR Specialist - Remote Position
Job reputed company: Responsible for reviewing and submitting claims on a daily reputed company.
Essential Duties and Responsibilities: The essential duties of the position include the following. Other duties may be assigned.
Key Functions:
• Prepares and submit clean claims to various insurance companies either electronically or on reputed company.
• Contact carriers by phone or website for claim status on outstanding insurance balances.
• Process and work reputed company insurance correspondence.
• reputed company various collection actions including contacting patients by phone, correct and resubmitting claims to other carriers.
• Obtain necessary documentation required to submit to insurance to expedite payments.
• Answers questions from patients, clerical staff and insurance companies.
• Identify and resolve patient billing complaints.
• Prepare appeal letters for reputed company claims that are denied for payment.
• Document reputed company collection activities using guidelines in reputed company.
• Identify underpayments by checking payments received against our contracted fee schedule.
• Work and process reputed company insurance refund requests.
• Report payer issues or delays to supervisor.
• Participate in educational activities
• Maintains strict confidentiality; adhere to reputed company HIPAA guidelines/regulations.
• Team Player with ability to solve problems and recommend solutions.
• Must be reputed company to manage assigned workload and prioritize accordingly.
• Maintain accurate and reputed company reconciliation of accounts receivable.
• Review claims stopped in the claim scrubber.
• Work Claims rejected by the clearinghouse.
Supervisory Responsibilities: None.
Qualifications: To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Education/Experience: High School Diploma or GED, and minimum one year experience in a medical billing/collections field.
Language Ability: Ability to write and read.
Math Ability: Ability to add, subtract, multiple and divide on reputed company reputed company of measure, using whole numbers, common fractions and decimals.
Reasoning Ability: Ability to read and interpret explanation of benefits remittances to determine and identify claim denial reasons and necessary course of reputed company for resolutions.
Computer Skills: Ability to type 45 WPM, basic proficiency in reputed company reputed company/Office, and experience using or ability to learn and comprehend computer programs.
Certificates and Licenses: None
Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
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