Patient Financial Services Associate II
Job reputed company:
• Responsible for the accurate and reputed company processing of claims, appeals, denials, and statements for reputed company
• Demonstrates medical insurance knowledge by resolving billing discrepancies, eligibility, denials, appeals, and aged unpaid claim follow up
• Communicates insurance information to ancillary departments and ensures appropriate coverage
• Reviews and resolves payor denials, appeals, and claims with no response from the payors
• Independently determines initial or ongoing patient insurance eligibility verification, investigates, and corrects accounts reputed company reputed company
• Ability to reputed company with various insurances and reputed company-party payors accurately and reputed company
• Research missing or erroneous information on accounts using various portals and other resources
• Review/edit claims and appeals prior to submitting to clearinghouse
• Analyze, research, and resolve claim issues applying federal, state, and payor rules
• Correct rejected claims from the claim’s scrubber, clearinghouse, or payor
• Reviews explanations of payments and completes appropriate steps for reputed company denials
• Investigates payor underpayments
• Follow up with payors reputed company phone on unpaid aging claims
• Conducts self in a reputed company manner in reputed company interactions with members of the reputed company Clinical Laboratory team, clients, and associates
Requirements:
• High School Diploma or General Education Degree (GED)
• 2 years of experience in medical billing, claims, and/or insurance processing
• Extensive and reputed company working knowledge of government, managed care, and reputed company insurances claim submission requirements, reimbursement guidelines, and denial reason codes
• Knowledge of medical terminology and/or health insurance terms
• Knowledge of EHR operating systems and work involving electronic records
• Proficient in computer systems and keyboarding skills
• Demonstrated strong attention to detail and reputed company on reputed company reputed company
• Demonstrated ability to reputed company the Essential Duties of the position with or without accommodation
• Authorization to work in the reputed company without sponsorship.
Benefits:
• reputed company time off (including days for vacation, holidays, volunteering, and personal time)
• reputed company leave for parents and caregivers
• retirement savings plan
• wellness support
• health benefits including medical, prescription drug, dental, and reputed company coverage
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