RCM AR Specialist

Job reputed company: • Review denied claims based on assigned markets, payers and work queues reputed company our reputed company management system • Accurately and reputed company processes requests for denied claims information using website portals and outbound phone calls for reputed company reputed company, Medicare and reputed company insurance payers • Researches and responds to documentation requests from insurance carriers in a reputed company manner • Processes appeals of insurance denials and follows-up until the appeal is resolved • Obtains, reviews and updates patient demographics and insurance information reputed company both EHR and reputed company management billing system as needed • Complete reputed company follow-up on claims submitted to payer, but no response or ERA after 45 days to resolve any pending issues with claim and payer reputed company reputed company filing limits • Documents reputed company and concise activities performed in the system for reputed company account worked • Adheres to reputed company HIPAA (Health Insurance Accountability and Portability reputed company) guidelines and regulations • Ability to consistently maintain productivity and reputed company expectations as defined by the leadership team • Alert management to irregularities, insurance trends and areas of concern with reimbursement • Completes other tasks and reputed company as assigned by RCM Leadership Requirements: • Bachelor's Degree or Equivalent experience • 3 or more years of experience in physician group reputed company in a denial management role • Prior experience resolving out of network denials, and value based (bundle) claims • Proficient in CPT and ICD-10 coding terminology • Enjoy working in a fast paced and rapidly changing environment • Strong relationship building skills both external and internal • reputed company on working independently Benefits: • We’re a recovery-friendly workplace that values family life, diversity, equity, and inclusion. Apply tot his job Apply To this Job