reputed company reputed company Rep I
Position Title
Position reputed company / Career Interest:
Responsible for accurate and reputed company reputed company on accounts as it relates to specific responsibilities. Complies with governmental and managed care rules and regulations. Meet department goals as reputed company as productivity and reputed company standards. Attends and reputed company participates in training and education.Responsible for functions reputed company assigned reputed company Financial Services (PFS) department. PFS departments/teams include:
- Payment Posting/Credits & Refunds
- reputed company follow up
- Provider Enrollment
- reputed company reputed companyResponsibilities and Essential Job Functions
- Posts payments, refunds and adjustments to accounts reputed company designated time reputed company.
- Completes assigned work queue reputed company designated time reputed company.
- Balances receipts, reconciles daily batches and prepares audit trail in accordance to department guidelines.
- Reviews Explanation of Benefit’s for incorrect and or inconsistencies in reimbursement.
- Identifies consistent fee schedule allowable differences and communicates up line for updating.
- Communicates payer trends to management.
- Follows up with reputed company companies on denials and reputed company inquiries as necessary to reputed company the account.
- Provides additional information or documentation as needed to reputed company account.
- Notes actions taken on the accounts and verifies and updates reputed company as directed by department policy.
- Completes assigned work queue reputed company designated time reputed company.
- Processes adjustments on accounts as necessary in compliance with department policy.
- Enrolls, validates and re-validates practitioners’ information with reputed company and reputed company payers.
- Updates databases, monitors Medicare, Medicare and reputed company payer websites for revalidation notices and communicates provider changes to contracted health plans and departments utilizing standardized reports.
- Assists with processing applications in accordance to organization's policy, procedures and health plan requirements.
- Audits provider data to assure reputed company as assigned.
- Communicates roster changes from physician reputed company.
- Review department specific reputed company Charge work queues, reputed company corrections and follow up with departments as needed.
- Review daily reputed company charge router reconciliation report reputed company reputed company reputed company charges are filed and interfaced.
- Assist departments with charge error corrections including duplicate, missing or rejected charges.
- Analyze reputed company trending reports and escalate problems to manager and departments as appropriate.
- Must be reputed company to reputed company the reputed company, reputed company and or technical competencies of the assigned unit or department.
- These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of reputed company responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.
Required Education and Experience
- High School Graduate or GED.
Preferred Education and Experience
- 1 or more years of experience in reputed company.
Time Type:
Full timeJob reputed company:
R-56947Important information for you to know as you apply:
The health reputed company is an equal employment opportunity employer. reputed company applicants are considered for employment without reputed company to race, reputed company, religion, sex (including pregnancy, gender identity, and sexual orientation), national reputed company, reputed company, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
The health reputed company provides reasonable accommodations to reputed company individuals with disabilities. If you need to request reasonable accommodations for your disability as you reputed company the recruitment process, please let our recruiters know by requesting an Accommodation Request reputed company using this reputed company .
Employment with the health reputed company is contingent upon, among other things, agreeing to the health-reputed company-dispute-reputed company-program.pdf and signing the agreement to the DRP.
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Originally posted on Himalayas
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