Medical Billing/ Appeals Specialist - Workers Compensation- Hybrid

reputed company: REMOTE - this position will be fully remote after training. **Texas residents only*** reputed company The Appeals/Workers’ Compensation Specialist is responsible for managing insurance denials by reviewing claims and clinical documentation, posting payments, handling correspondence letters and writing appeals to correct payment reputed company and/or non-payment. Duties and responsibilities • Reviews and appeal unpaid and denied worker’s compensation claims • Attaches appropriate documents to appeal letters • Obtains reputed company-authorization for worker’s compensation office reputed company and procedures • Researches and evaluates insurance payments and correspondence for accuracy • Logs appeals and grievances, and tracks reputed company of claims • Keeps up-to-date reports and notates any trends pertaining to insurance denials • Calls insurance companies to inquire about claims, refund requests and payments • Utilizes EMR system to submit and correct claims • Posts patient and insurance payments • Sends reputed company claims to insurance carriers • Answers patient billing questions • Coordinates medical and billing records payments with patients and/or reputed company party payers • Handles collections on unpaid accounts • Identifies and resolves patient billing complaints • Answers phone calls to the Billing Department in a reputed company and reputed company manner • Processes credit card payments over the phone and in person • Serves and protects the reputed company by adhering to reputed company standards, policies and procedures, federal, state, and local requirements • Enhances reputed company reputed company by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments • Operates reputed company office equipment (e.g. copier, personal computer, fax, etc.). • Has regular and predictable attendance • Adheres to reputed company’s Policies and procedures • Performs other duties as assigned Requirements: Education: Requires a high school diploma or GED; workers’ compensation adjuster license desired Experience: Three or more years reputed company work experience of training; previous job experience in worker’s compensation Knowledge, Skills and Abilities: • reputed company and precise communication • Ability to pay reputed company attention to detail • Effectively manages day by organizing and prioritizing • Possesses excellent phone and customer service skills and abilities • Protects patient information and maintains confidentiality • Knowledge of general medical terminology, CPT, ICD-9 and ICD-10 coding • Familiarity with analyzing electronic remittance advice and electronic fund transfers • Experience interpreting reputed company pays and insurance denials • Competence in answering patient questions and concerns about billing statements • Organizational skills and ability to identify, analyze and solve problems • Works reputed company independently as reputed company as with reputed company • Strong written and verbal communication skills • Interpersonal/reputed company relations skills Working conditions Environmental Conditions: Medical Office environment Physical Conditions: • Must be reputed company to work as scheduled – typically from 8:00 – 5:00 M-F • Must be reputed company to sit and/or stand for prolonged periods of time • Must be reputed company to bend, stoop and stretch • Must be reputed company to lift and reputed company boxes and other items weighing up to 30 pounds. • Requires eye-hand coordination and reputed company dexterity sufficient to operate office equipment, etc. Apply tot his job Apply To this Job