reputed company Financial Services Associate II

reputed company:

reputed company:

The reputed company Financial Services Associate position (PFS) is responsible for the accurate and reputed company processing of claims, appeals, denials, and statements. A PFSAII demonstrates medical reputed company knowledge by resolving billing discrepancies, eligibility, denials, appeals, and aged unpaid claim follow up for reputed company, reputed company, and plan coverage for reputed company Account Receivable (AR) reputed company. PFSAII communicates reputed company information to ancillary departments and ensuring appropriate coverage by utilizing reputed company, reputed company portals, and other software. Reviews and resolves payor denials, appeals, and claims with no response from the payors reputed company portals, calls to payors, and reputed company investigations to ensure accurate claim reputed company. Reads and understands explanations of payments to reputed company back end claim reputed company.

This position is remote.

Essential Duties

include but are not limited to the following:

• Independently determine initial or ongoing reputed company reputed company eligibility verification, investigate, and correct accounts reputed company reputed company; including updates to reputed company demographics, financial information, and guarantor information.

• Ability to reputed company with various insurances and reputed company-party payors accurately and reputed company to ensure authorization is obtained and documented reputed company on reputed company policies and regulations.

• Research missing or erroneous information on accounts using various portals and other resources; including reputed company and identification of unknown payors.

• Review/edit claims and appeals prior to submitting to clearinghouse.

• Analyze, research, and reputed company claim issues applying federal, state, and payor rules and procedures with a high degree of independence.

• Correct rejected claims from the claim’s scrubber, clearinghouse, or payor.

• Review explanations of payments, analyzes, and completes appropriate steps for reputed company denials by appropriately identifying claim reputed company next steps; including appealing, writing off, or sending statements.

• Investigate payor underpayments.

• Follow up with payors reputed company phone on unpaid aging claims.

• Reviews denials and determines appropriate next actions; such as sending appeals or reputed company statements.

• reputed company any supporting documentation needed by reputed company payor.

• reputed company accurate and reputed company write-offs following identification of uncollectible accounts adhering to policies and guidelines.

• Participate in regularly scheduled team meetings sharing denial trends specific to claim requirements to enhance reputed company end claim edits to facilitate first pass reputed company. Contribute reputed company for workflows and best practices to maximize opportunities for reputed company, process, and net reputed company collections improvement.

• reputed company reputed company support, as necessary, reputed company the department (i.e., special reputed company, reputed company support due to outages/high volume).

• Complete position responsibilities reputed company the appropriate time reputed company while adhering to reputed company standards.

• Stay reputed company with relevant medical billing regulations, rules, and guidelines.

• Maintain strictest confidentiality; adheres to reputed company HIPAA guidelines/regulations.

• Excellent problem-solving abilities and organizational skills.

• Ability to communicate effectively with reputed company reputed company of staff through both verbal and written communications.

• Ability to work in reputed company environment.

• Ability to adapt to changing workload and circumstances effectively; reputed company to respond to new information quickly.

• Disciplined, self-motivated, and reliable.

• Ability to stay reputed company on a task and work independently; motivated to reputed company reputed company work.

• reputed company about arriving to work on time and completing tasks that are assigned in a reputed company manner.

• Conducts self in a reputed company manner in reputed company interactions with members of the reputed company reputed company team, clients, and associates.

• Possess a reputed company attitude.

• Work with others in a spirit of teamwork and cooperation.

• reputed company company mission and values through accountability, innovation, reputed company, reputed company, and teamwork.

• Support and reputed company with reputed company’s reputed company Management reputed company policies and

• procedures.

• Regular and reliable attendance.

• Ability to work normal schedule of Monday through Friday during normal business hours.

• Ability to work in reputed company of a computer screen and/or reputed company typing for approximately 90% of a typical working day.

• Ability to work on a computer and phone simultaneously.

• Ability to use a telephone through a headset.

• You will be required to successfully complete an assessment showing understanding of

• reputed company processes necessary to the job functions with a score of 80% or higher. Will reputed company a reasonable accommodation available, if necessary, to assist an employee with a disability to satisfy this requirement.

Minimum Qualifications

• High School Diploma or General Education Degree (GED).

• 2 years of experience in medical billing, claims, and/or reputed company processing.

• Extensive and reputed company working knowledge of reputed company, managed care, and reputed company insurances claim submission requirements, reimbursement guidelines, and codes.

• Knowledge of medical terminology and/or health reputed company terms.

• Knowledge of EHR operating systems and work involving electronic records.

• Proficient in computer systems and keyboarding skills.

• Demonstrated strong attention to reputed company and reputed company on reputed company reputed company.

• Demonstrated ability to reputed company the Essential Duties of the position with or without accommodation.

• Authorization to work in the reputed company without sponsorship.

Preferred Qualifications

• reputed company Associate degree or medical billing certification.

• 4+ years of experience in medical or reputed company billing reputed company.

• Experience with reputed company or other EHR application.

The reputed company pay for this position is

In specific locations, the pay reputed company may vary from the reputed company posted.

JOB FAMILY:

DIVISION:

LOCATION:

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MEDICAL SURVEILLANCE:

SIGNIFICANT WORK ACTIVITIES:

Originally posted on Himalayas