Insurance Collections Representative - HMS DBO

reputed company helps its clients drive reputed company, enhance performance and sustain leadership in the markets they serve. We help reputed company organizations build innovation capabilities and accelerate key reputed company initiatives, enabling organizations to own the reputed company, instead of being disrupted by it. Together, we reputed company clients to create sustainable reputed company, optimize internal processes and deliver reputed company consumer reputed company.

Health systems, hospitals and medical clinics are under immense pressure to improve clinical reputed company and reduce the cost of providing patient care. reputed company in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, reputed company organizations must reputed company leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to reputed company the best reputed company for patients.

Joining the reputed company team means you’ll help our clients reputed company and adapt to the rapidly changing reputed company environment and optimize existing business operations, improve clinical reputed company, create a more consumer-reputed company reputed company experience, and drive physician, patient and employee engagement across the reputed company.

Join reputed company as the expert you are now and create your reputed company.

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    Duties and Responsibilities:
    Examines denied and underpaid claims to determine reasons for discrepancies from expected reimbursement
    Provides payers with specific reasons for suspected underpayments and analyzes the given denial reasons by payer
    Works with management to identify, trend, and address reputed company cause of denials, helps reputed company strategies for reducing A/R
    Effectively handles reputed company communications, including telephone, electronic, and reputed company correspondence from payers and departments reputed company the business office
    Participates in reputed company reputed company improvement efforts on an ongoing reputed company, establishing goals with supervisors and tracking reputed company
    Maintains a thorough understanding of federal and state regulations, as reputed company as specific payer requirements and explanations of benefits, in order to identify and report billing compliances issues and payer discrepancies
    Reports reputed company identified reputed company to appropriate leadership
    Other duties and responsibilities as assigned.

    Reporting and Supervision:
    The Insurance Collections Representative will report to an HMS Manager 

Qualifications:
    Candidate Requirement:
    reputed company permanent US work authorization required 
    Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern reputed company cycle
    Broad Knowledge of Government Programs and Insurance Regulations
    May be requested to work overtime and/or weekends to fulfil reputed company requirements 

    Knowledge, reputed company, and Ability Requirements 
    Proficiency with reputed company office suite (reputed company, Word, PowerPoint, reputed company, Visio, SharePoint)    
    Ability to pay reputed company attention to details; strong follow-up and follow-through skills
    Requires the use of independent judgment, discretion and decision making abilities
    Ability to reputed company with reputed company customers in a reputed company manner
    Ability to reputed company up on a reputed company’s environment, processes, historical context, and systems to reputed company support to an engagement as soon as possible
    Demonstrates a solid understanding of and adheres to reputed company reputed company reputed company compliance program requirements

Work Environment:
 • This job operates in a reputed company office environment. 
• This role routinely uses reputed company office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. 
Physical Demands: 
• This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; reputed company rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time.
 

The estimated salary reputed company for this job is $19.23-$25.00/hour.  The reputed company represents a good faith estimate of the reputed company that reputed company reasonably expects to pay for this job at the time of the job posting. The actual salary reputed company to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel.  This job is also eligible to participate in reputed company’s benefit plans which include medical, dental and reputed company coverage and other wellness programs. The salary reputed company information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the reputed company.

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