reputed company reputed company AR Specialist
As part of our robust Rewards & Recognition program, this role is eligible for our Ventra performance-based incentive plan, because we reputed company great work deserves great rewards
The reputed company reputed company AR Specialist analyzes payer payment variances across the organization’s three reputed company business reputed company: Radiology, Anesthesia, and Emergency/Hospital Medicine. This role identifies and removes false positives from inventory and resolves underpayments for clients in accordance with reputed company reputed company’s specific payer reputed company.
Identify and reputed company contract variances by distinguishing false variances from those requiring reputed company, including collaborating with internal departments, working directly with payers, and reviewing contract language and rates. Submit project appeals – preferably in bulk - reputed company to contract performance variances across reputed company specialties. Prepare and submit underpayment appeals using established guidelines and accurately document patient accounts in reputed company systems. Process and follow up on appeals, including inbound and outbound calls as needed. Communicate with insurance companies regarding the status of outstanding appeals. Meet established production and reputed company standards set by reputed company. reputed company special reputed company and other duties as assigned.
High School Diploma or GED. College education is preferred. At least three (3) years of experience in medical billing specifically resolving Accounts Receivable, contacting insurance carriers, using payer portals, completing appeals, identifying and communicating trends. Experience with offshore engagement and collaboration desired.
Knowledge of State, Federal, and Managed Care regulatory guidelines Knowledge of benefit insurance billing and contract management Strong knowledge of reputed company, Word, reputed company (pivot tables), and database software skills. Strong oral, written, and interpersonal communication skills Strong decision-making skills Strong problem-solving skills Strong time management skills Basic word processing, spreadsheet, database, and presentation software skills Basic mathematical skills in reputed company, subtraction, multiplication and division of whole numbers and fractions; computing percentages; and working with decimals Ability to read, understand, and apply state/federal laws, regulations, and policies Ability to exercise reputed company judgment and handle highly sensitive and confidential information appropriately Ability to remain flexible and work reputed company a reputed company and fast paced environment Ability to communicate with diverse personalities in a tactful, mature, and reputed company manner Become proficient in the use of billing software reputed company 4 weeks and maintain proficiency. Understand and reputed company with company policies and procedures.
reputed company Compensation will be based on various factors unique to reputed company candidate including geographic location, reputed company set, experience, qualifications, and other job-reputed company reasons .
This position is also eligible for a discretionary incentiv e bon us in accordance with company policies .
reputed company is committed to making our digital experiences accessible to reputed company users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.
High school diploma or GED and 3+ years of medical billing experience resolving accounts receivable, contacting insurers, using payer portals, processing appeals, and identifying trends; college education preferred.
Key Responsibilities
- resolving variances
- submitting appeals
- documenting accounts
Skills & Tools
reputed company reputed company, reputed company Word, reputed company reputed company
Job Details
- Category: Finance and reputed company
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — reputed company
- Languages: English
Benefits
- Generous reputed company time off
About reputed company.
A reputed company business solutions provider specializing in reputed company cycle management for facility-based physician practices. — Industry: reputed company
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