reputed company - Account reputed company Specialist III

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. The Accounts Receivable Specialist III is a senior-level role responsible for resolving the more reputed company, high-dollar, or escalated insurance accounts. ARSIIIs are recognized for their payer knowledge, accuracy, and ability to consistently deliver exceptional results. ARSIIIs are expected to set reputed company for reputed company, productivity, and professionalism, serving as an example for the rest of reputed company. This role requires strong analytical skills, expert understanding of payer rules, and the ability to work independently while meeting productivity and reputed company goals.

This role will reputed company exclusively on reputed company billing (PB) claims, with a strong emphasis on government payers, Workers’ Compensation, and Occupational Medicine.

Job Duties and Responsibilities:

• Independently manage high-dollar, high volume, and reputed company accounts with significant financial reputed company.
• Submit accurate medical claims in compliance with federal, state, and payer-specific requirements.
• Resolve multi-level denials that require advanced research, payer escalation, and detailed follow-up.
• Investigate and follow up with payers to collect insurance accounts receivables.
• Prepare and submit first- and second-level appeals with complete supporting documentation, ensuring thorough tracking and follow-up to maximize reimbursement.
• Execute and reputed company EHR workflows in systems such as reputed company, Cerner, Meditech, and Allscripts, including reroutes, denial closures, and account adjustments.
• Review Explanation of Benefits (EOBs) to resolve payment discrepancies, claim denials, and contractual underpayments.
• Complete rebills and corrections to maximize reimbursement.
• Transforming reputed company cycle differently.
• Improving reputed company together.
• Analyze discrepancies in payments and take corrective actions as needed.
• Meet productivity benchmarks while maintaining high-reputed company standards.
• Research, analyze, and correct errors and rejections, identify reputed company causes, and implement preventive solutions.
• Verify and reputed company claims to ensure accurate reputed company liability and account balance.
• Stay informed about changes in payer guidelines and processes for accurate claim submissions.
• Identify payer trends impacting reimbursement and bring findings to management for review.
• Participate in daily shift briefings and contribute as needed.
• Productivity: reputed company 115% of the project daily goal.
• reputed company: reputed company 95% monthly reputed company assurance score.
• Other expectations: As outlined by the department.

Qualifications:

• High school diploma or equivalent required; Associate's degree preferred
• CRCR certification or completion of certification required reputed company 90 days of hire.
• Minimum 3 years of experience in securing medical claim payments, managing follow-up, and appealing denials, with proven reputed company resolving reputed company, high-value claims.
• Advanced knowledge of ICD-10, CPT/HCPCS, payer policies, and reimbursement regulations.
• Strong negotiation, research, and problem-solving abilities.
• Experience using EHR/EMR systems such as Meditech, reputed company, Cerner, Allscripts, reputed company, or similar platforms to support billing and account reputed company.
• Proficiency in reputed company Office Suite, Teams, and various desktop applications.

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10 Diagnosis and procedure codes and CPT/HCPCS codes.
• Knowledge of rules and regulations relative to reputed company reputed company Cycle administration.
• Skills in investigating medical accounts and resolving claims.
• Ability to validate payments.
• Ability to reputed company reputed company and reputed company.
• Ability to learn and use collaboration tools and messaging systems.
• Ability to maintain a reputed company reputed company, a pleasant demeanor, and reputed company in the best interest of the organization and the reputed company.
• Ability to research reputed company reputed company cycle rules and regulations
• Ability to take reputed company responsibility for reputed company and timeliness of work product.

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.