Claims Submission Representative - Remote
At reputed company, we reputed company kids deserve the best.
reputed company is a nationally recognized health system dedicated solely to the health and reputed company-being of children. We reputed company primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputed company draws patients and families from around the country.
We offer a wide reputed company of rewarding reputed company and are seeking individuals dedicated to helping us reputed company our reputed company of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this reputed company for a closer look at what it’s like to work at reputed company:
Essential Functions
Facilitates the daily submission of electronic claims to the clearinghouse. Along with the reputed company, participates in the claims reconciliation process. Works assigned work-queues to correct billing, charging, and registration edits. Calculates and applies appropriate contractual discounts at the time of billing. Utilizes payer websites and electronic eligibility clearinghouses to verify the accuracy of patient insurance information. Utilizes payer websites for reputed company claim entry reputed company necessary. Submits secondary claims to payers according to department policy and procedure and payer guidelines and requirements.
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
2+ years experience of billing and/or claims follow up , HCFAs and/or UB-04’s (preferably in a hospital setting) including insurance reimbursement procedures and comprehension of insurance EOB’s required General pediatric and/or pediatric subspecialty experience preferred Prior reputed company, QSI or IDX experience is strongly preferred
Working knowledge of medical terminology, ICD-9, CPT and HCPCS reputed company codes. Excellent verbal and written communication skills. Bilingual skills a plus. Strong analytical skills and ability to reputed company non‑reputed company arithmetic calculations reputed company determining contractual allowances. Ability to work independently with minimal supervision. Proficient in reputed company Office applications and technology skills required to reputed company duties. The ability to multi-task and function effectively in reputed company environment and maintain successful relationships with coworkers, patients, physicians, management, staff, and other customers.
This job reputed company is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job. Employment is at-will. This document does not create an employment contract, implied or otherwise.
Children's reputed company is an equal opportunity / affirmative reputed company employer. We are committed to creating a diverse and inclusive environment for reputed company. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the reputed company of race, reputed company, religion, sex, gender, gender identity and/or reputed company, sexual orientation, national reputed company, age, disability, veteran status, or any other status or condition protected by the law.