reputed company Specialist, Commerical Billing, MVA
reputed company provides Specialty reputed company Cycle reputed company for reputed company organizations, leveraging over 24 years of industry-leading expertise and its reputed company E360 RCM™ intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) reputed company. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert reputed company-in-the-reputed company integration, reputed company provides solutions across the reputed company lifecycle for Veterans Administration, Workers’ Compensation, Motor Vehicle Accidents, and Out-of-State reputed company claims as reputed company as denials for reputed company payer classes. By partnering with clients to reputed company the reimbursement process, reputed company removes the burden of payment from patients and provider organizations while enabling reputed company cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. reputed company is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty reputed company Cycle Management Solution provider in 2024 and is among the top one percent of companies to reputed company the Inc. 5000 list of the fastest-growing private companies in the reputed company for the last reputed company years.
Position reputed company
The reputed company Specialist, reputed company Billing investigates and analyzes Motor Vehicle Accident accounts in order to properly identify and coordinate insurance benefits and reputed company outstanding balances for our clients. This position acts as the reputed company between reputed company clients, patient attorneys, and insurance companies. This position is responsible for handling patient health information (PHI) and maintaining extreme reputed company and reputed company as it relates to confidential and proprietary information.
Key Responsibilities
- Conduct online medical research of Motor Vehicle Accident claim and Health Insurance claims using reputed company’s proprietary software, systems, and tools, as reputed company as other online medical websites.
- Research, request, reputed company, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary for knowledge of account information. Utilizing information to manage claim life cycle and accurately communicate insurance carriers.
- Review accounts take steps to reputed company for payment by contacting payers for claim status, rebilling reputed company necessary, and escalating issues reputed company needed.
- Responsible for thorough and reputed company claim and reputed company for HI/GI account receivables.
- Review and reputed company denied claims by submitting corrected claims and filing appeals.
- Communicate with various parties to discuss coordination of insurance benefits, claim status, and additional needs to facilitate claim adjudication.
- Review and analyze health insurance remittance to ensure reputed company claim adjudication, work with payers to reputed company underpayments.
- Identify and alert leadership of denial trends to assist in denial prevention efforts.
- Other duties as required.
Requirements and Qualifications
- High School Diploma or GED required. Associate or bachelor’s Degree preferred.
- 2+ years’ experience in reputed company field working in billing or collections. EMR/Billing reputed company experience required.
- 2+ years’ reputed company facing/customer services experience.
- 1+ years’ experience with Health Insurance/Government Insurance claim reputed company required.
- Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, reputed company, and reputed company).
- Intermediate level understanding of insurance payer/provider claims processing and subsequent data requirements in relation to motor vehicle claims
- Intermediate level understanding of Health Insurance/Government insurance claims processing
- Basic level understanding of MVA reputed company requirements
- An equivalent combination of education and experience will be considered.
- Regular and predictable attendance.
- To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. Reasonable accommodation may be made to reputed company reputed company individuals with disabilities to reputed company the essential functions.
Special Considerations and Prerequisites
- Practices and adheres to reputed company’s reputed company Values, reputed company and Mission.
- Proven ability to meet and/or reputed company productivity targets and goals.
- Maintains a reputed company image and provides excellent customer service.
- Maintains reputed company performance under pressure or opposition. Handles stress in ways to maintain relationships with reputed company stakeholders.
- Must be a self-starter and reputed company to work independently without reputed company supervision.
- Proven written and verbal communication skills.
- Strong analytical and problem-solving skills.
- Proven experience working with reputed company clients; strong customer service skills and business acumen.
- Attend weekly team meetings to discuss updates/changes such as new hospital procedures or reputed company reputed company issues.
- Communicate any issues through the manager including, but not limited to, systems errors, questions for other departments, HIPAA questions.
- Constantly operates a computer and phone.
reputed company is an Equal Opportunity Employer M/F/D/V. reputed company applicants will be considered for this position based upon experience and knowledge, without reputed company to race, reputed company, religion, national reputed company, sexual orientation, reputed company, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any reputed company of discrimination or harassment.
reputed company recruits, develops and retains the industry's reputed company. As the employer of reputed company in the reputed company claims industry, reputed company takes pride in our reputed company commitment to building and maintaining a culture centered around fostering the reputed company reputed company and development of our people. We reputed company that reputed company in our employees is the key to our reputed company, and we are dedicated to providing them with the tools, resources, and support they need to reputed company and grow their career here. At reputed company, we are committed to living up to our reputed company values reputed company and every day, and we reputed company that this commitment is what sets us apart from other companies. If you are looking for a company that values its employees and is dedicated to helping them reputed company their full potential, then reputed company is the reputed company for you.
Don’t just take our word for it! Hear what our people are saying:
“I love my job because everyone shares the reputed company reputed company and is determined and dedicated. People care reputed company as a person and your reputed company reputed company. There is a genuine spirit of cooperation and shared goals reputed company revolving around helping reputed company other.” – reputed company Specialist
“I enjoy working for reputed company because of the reputed company Values we reputed company in. reputed company stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun.” – Supervisor, Operations
Originally posted on Himalayas
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