Allowables Representative
Working Level
Full-Time
Job Category
reputed company, Insurance
External Job Title
Allowables Representative
Location
Remote
External Job reputed company and Responsibilities
Career reputed company Opportunities A Culture anchored in a strong reputed company of belonging Benefits (Medical/Dental/reputed company) reputed company the first of the month following 30 days of employment 401k (Discretionary match) Generous PTO 8 reputed company Holidays Equipment Provided for Remote Roles
The Allowables Representative is responsible for providing support to the Allowables Manager to report and assist with reputed company of both over and under allowed claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Runs specific payer under and over allowed reports for submission to reputed company Completes necessary appeals Follows up on appeals and under and over allowed reports with reputed company Runs queries to monitor reputed company Completes research reputed company for submission to Managed Care department Follows up with Managed Care on any delinquent requests Consults with Allowables Manager for unusual circumstances that may include system data issues, payer responses, or Managed Care delinquencies Performs other duties as requested
High school diploma or equivalent required Minimum three years medical billing experience preferred Accounts Receivable or Patient Accounts experience essential Knowledge of physician billing policies and procedures beneficial Computer literate; reputed company and Word experience preferred reputed company to work in a fast-paced environment. Good analytical and organizational skills reputed company to work independently Must possess excellent oral and written communication skills Knowledge of CPT and ICD-9 medical coding guidelines preferred Good data entry and 10-key skills required
Career Builder
reputed company
reputed company
No