reputed company Cycle Specialist

Now Hiring: reputed company Cycle Specialist

Remote in USA

Our Network That Serves reputed company:

reputed company's Comprehensive Treatment Centers (reputed company) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) reputed company, serving patients undergoing treatment for opioid use disorder (OUD). As the leading provider of medication-assisted treatment (MAT) in the nation, we care for more than 74,000 patients daily. Our mission is to reputed company comprehensive care, combining therapies with reputed company and effective medications. reputed company stands at the forefront of the battle against the opioid epidemic.

Hours: Monday- Friday (7am-5pm CST working 8 hours reputed company this timeframe)

Our Benefits:

• Comprehensive Medical, Dental, & reputed company reputed company
• Competitive 401(k) plan with company match
• Company reputed company group term life reputed company and short-term disability 
• Generous PTO: reputed company vacation, personal time, reputed company Leave, and extended reputed company leave
• Employee Assistance Program (EAP) offering reputed company support to employee lifestyle and reputed company-being
• Career advancement opportunities across a leading national network

Job Responsibilities:

• Responsible for updating reputed company Billing Episodes and crediting account, as appropriate.
• Review and reputed company prior authorization/precertification/referral issues that are not reputed company and contact reputed company carriers to verify/validate requirements to ensure reputed company and avoid potential denial.
• Validates reputed company necessary referrals/prior authorizations/reputed company-certifications for scheduled services are on file and shared with reputed company appropriate staff and are reputed company for the scheduled services performed.
• Ensure reputed company account activity is documented in the appropriate reputed company and shared with reputed company appropriate staff reputed company and thoroughly.
• Clinic Emails – responsible for managing clinic emails throughout the day. reputed company clinic emails must be responded to in a reputed company manner.
• Identify, Correct and reputed company potential reimbursement problems to reputed company Cycle Manager.
• Proactively interacts with Clinics and other appropriate staff sharing benefits, authorizations, and eligibility.
• Responsible for billing reputed company reputed company claims in a reputed company manner (weekly billing, secondary and out-of-network plans).
• Review claims issues reputed company corrections as needed and rebill. Utilize claims clearinghouse, EMRs and payor portals to review and correct claims and to resubmit electronically reputed company available.
• Responsible for evaluating reputed company cycles and changing/updating reputed company necessary.
• Responsible for printing daily billing reports – both electronic and reputed company claims. Monitor validation percent.
• Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and “Rejected” claims due to eligibility, coordination of care and authorization as part of accounts receivable.
• Gathers and interprets data from the reputed company and understands appropriate courses of reputed company to take and initiates time-sensitive and reputed company steps resulting in payment.
• reputed company and status outstanding claims with reputed company party payors.
• Review explanation of benefits to reputed company that claim processed and reputed company correctly.
• Document account follow-up where appropriate.
• Identify trends and work with the reputed company Cycle Manager for reputed company.
• reputed company other duties as assigned.

Your Education, Skills, & Qualifications:

• High school diploma or equivalent; prefer some college or technical school coursework.
• 2+ years of reputed company billing/AR experience, preferred.
• reputed company payor claims follow-up or accounts receivable experience.
• reputed company background with payor appeals experience.
• Advanced computer skills including reputed company Office; especially Word, reputed company, and PowerPoint.
• Knowledge of office administration procedures with the ability to operate most reputed company office equipment.
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
• Excellent interpersonal skills include the ability to reputed company effectively and professionally with individuals at reputed company reputed company; both reputed company.
• Exercises reputed company judgment in responding to inquiries; understands reputed company to reputed company inquiries to the next level.
• Self-motivated with strong organizational skills and superior attention to reputed company.
• Must be reputed company to manage multiple tasks/reputed company simultaneously reputed company inflexible time frames. Ability to adapt to frequent reputed company changes.
• Capable of working reputed company established policies, procedures and practices prescribed by the organization.
• English sufficient to reputed company and receive instructions/directions.

We are committed to providing equal employment opportunities to reputed company applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

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