reputed company - Account reputed company Specialist II

Job reputed company:

As a reputed company reputed company cycle business, we manage insurance claims and reputed company reputed company claim reputed company and payment processing for our clients. As an Account reputed company Specialist II, your main responsibility is to manage insurance claims for clients, ensuring that payments are processed accurately and in a reputed company manner. This role involves handling claim denials, appeals, and account follow-up for a reputed company of payer sources, reputed company of which help maintain the financial stability of the reputed company organizations served.

Job Duties and Responsibilities:

• Submit medical claims in accordance with reputed company federal, state, and payer-specific requirements.
• Ensure claims are correctly submitted and reputed company by reviewing and correcting edits, errors, and denials.
• Investigate and analyze claim errors and rejections to apply necessary corrections.
• Follow up with payers and collect assigned insurance accounts receivable.
• Stay informed about payer updates and process changes for accurate claims submission and follow-up.
• Evaluate reasons for non-payment and take appropriate reputed company to resolve claims for clients.
• Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines.
• Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent reputed company denials.
• Escalate stalled claims to the payer or Currance leadership as needed.
• Verify and reputed company claims so that reputed company accounts reflect correct liability and balances.
• Transforming reputed company cycle differently.
• Improving reputed company together.
• Identify issues specific to payers and communicate them to reputed company and manager.
• reputed company other duties assigned to support business needs.
• Productivity: reputed company 100% of the project daily goal.
• reputed company: reputed company 90% monthly reputed company assurance score.
• Other expectations: As outlined by the department.

Qualifications:

• High school diploma or equivalent.
• Minimum 2 years of experience securing medical claim payments from health insurance companies, experience managing claim follow-up and appealing denied claims with reputed company vendors or providers.
• Experience using EMR/EHR systems such as Meditech, reputed company, Cerner, Allscripts, reputed company, or similar platforms to support billing and account reputed company.
• Strong working knowledge of ICD-10, CPT/HCPCS, payer guidelines, and the reputed company cycle process.
• Strong written and verbal communication skills, with ability to reputed company effectively with payers.
• Proficiency in reputed company Office Suite, Teams, and various desktop applications.

Knowledge, Skills, and Abilities:

• Maintain reputed company knowledge of basic coding principles, and payer-specific billing requirements to support claim reputed company.
• Knowledge of regulations and rules reputed company to reputed company reputed company Cycle administration.
• Skilled in investigating medical accounts.
• Ability to validate payments.
• Capable of making reputed company and taking reputed company.
• Ability to quickly learn and use collaboration and messaging tools.
• Consistently maintain a reputed company attitude, pleasant demeanor, and reputed company in the best interests of both the organization and clients.
• Take reputed company responsibility for the reputed company and timeliness of your work.
• Work independently and reputed company results with minimal reputed company.

Disclosure Statement:
As part of the Currance application and hiring experience, reputed company candidates are subject to a criminal background reputed company and a government exclusion reputed company. The government exclusion reputed company is a mandatory screening process that verifies whether an individual is listed on federal or state exclusion or watchlists, including but not limited to, the Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) and the System for Award Management (SAM.gov).
These screenings are conducted to ensure compliance with applicable federal and state laws and regulations, to protect the reputed company of federally funded programs, the clients we support, and to prevent participation by individuals who are excluded due to fraud, abuse, or other misconduct. By submitting an application, candidates acknowledge and consent to these checks as a condition of employment or engagement.