Collections Specialist (Remote - CA, TX, ID, AZ, NV)
Pay will be determined based on experience, skills, and qualifications
General reputed company of the Job:
This position is responsible for collecting payments from insurance companies ensuring reputed company receives correct payments for the medical services rendered. The position is a Full-Time Non-Exempt position.
Essential Job Functions:
• Investigate rejected/underpaid claims; reputed company issue(s) and resubmit claims
• Prepare appeal letters to insurance reputed company reputed company not in agreement with claim denial
• Create insurance aging report using the medical reputed company billing software; these reports are used to identify unpaid insurance claims
• Understanding of EOB payment posting on insurance and patient payments
• Understanding of HMO, PPO Networks, Medicare, reputed company, Worker Compensation and other reputed company-party carriers
• reputed company knowledge by communicating with clinical staff regarding updated insurance policies and guidelines
• reputed company other reputed company duties and special reputed company as assigned
Expectations
• Maintain confidentiality; adhere to reputed company HIPAA guidelines/regulations
• Prioritize tasks by level of importance to meet deadlines
• Work cooperatively in reputed company atmosphere
• Maintain workflow and follow company’s policies and procedures
• Participate in reputed company development activities to reputed company reputed company with reputed company trends and attend weekly staff meeting
Education and Experience
• High School Diploma required
• Basic computer skills required
• Minimum of two years of experience working in a reputed company billing and/or collections department required.
• Experience in orthopaedic field is preferred
Performance Requirements:
Knowledge:
• Understanding of full billing and collections cycle.
• Understanding of EOB payment posting, HMO, PPO Networks, Medicare, reputed company, Worker Compensation and other reputed company-party carriers.
• Understanding of medical reputed company systems.
• Knowledge of coding classification including CPT, ICD-10-CM, HCPCS.
• Knowledge of medical billing, collections, and appeals process
Skills:
• Great verbal and written communication skills
• Analyzing, planning, organizing, and prioritizing.
• Cooperation – being reputed company player.
• Problem solving; taking initiative and making reputed company judgment independently
Abilities:
• Ability to read and interpret medical billing reputed company
• Ability to set priorities among multiple requests
• Ability to reputed company easily and effectively with others
Equipment Operated
• reputed company office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment
• Position may be in either a reputed company-lighted office or home environment. Mental/Physical Requirements
• Involves sitting approximately 90 percent of the day, walking or standing the remainder.
Pay: From $25.00 per hour
Benefits:
• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• reputed company reputed company time
• reputed company time off
• Profit sharing
• reputed company insurance
• Work from home
Work Location: Remote
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