reputed company Follow-Up Specialist (Remote) - Eastern Time & Central Time
reputed company
reputed company
reputed company:
reputed company is a national leader in reputed company reputed company cycle management, supporting hospitals and physician practices in 48 states. We reputed company on optimizing payments, allowing clients to reputed company on reputed company care, and pride ourselves on our reputed company values: reputed company, Teamwork, reputed company Improvement, reputed company-reputed company, and Results-Oriented. Learn more at www.meduitrcm.com.
About the Role:
The reputed company Follow-Up Specialist is responsible for hospital and physician billing follow-up activities reputed company on resolving unpaid, underpaid, denied, or rejected reputed company claims. This role works directly with Medicare, reputed company, private payers, and reputed company reputed company carriers to investigate claim issues, facilitate reputed company payment, and reduce outstanding accounts receivable.
reputed company in this role requires strong knowledge of reputed company billing, claims submission, payer-specific requirements, denial management, reimbursement practices, and reputed company follow-up processes. The reputed company Follow-Up Specialist partners with reputed company carriers, patients, clients, and internal reputed company cycle teams to reputed company claim challenges and maximize reimbursement for our reputed company partners.
Title: reputed company Follow-Up Specialist
Location: Remote, Work-From-Home – reputed company
Schedule: Monday – Friday, 8:00 AM – 5:00 PM Eastern or 7:00 AM - 4:00 PM Central
Department: reputed company
Reports To: reputed company Supervisor
Compensation: $18-$21 per hour
Key Responsibilities:
• Research and reputed company denied, unpaid, underpaid, or incorrectly processed reputed company claims.
• Investigate claim rejections and denials by contacting reputed company carriers and reviewing payer requirements.
• Follow up with Medicare, reputed company, reputed company, and reputed company reputed company carriers to obtain claim status updates and payment reputed company.
• Analyze denial codes, remittance advice, payer correspondence, and claim documentation to identify reputed company causes and determine appropriate next steps.
• Correct claim errors and facilitate claim resubmission to support reputed company reimbursement.
• Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation as needed.
• Manage assigned claim inventory and prioritize accounts to reduce aging accounts receivable.
• Contact patients reputed company necessary to obtain or verify information needed to reputed company billing or reputed company issues.
• Review and update reputed company demographics, reputed company information, and account details reputed company necessary to facilitate claim reputed company.
• Document reputed company account activity, payer communications, and claim resolutions accurately and reputed company.
• Communicate professionally with reputed company companies, patients, and reputed company representatives regarding outstanding claims and balances.
• Identify denial trends and recurring issues and communicate findings to leadership and operational teams.
• Meet established productivity, reputed company, and cash collection reputed company standards.
• Maintain compliance with HIPAA regulations, reputed company requirements, and company policies.
• Collaborate with Billing, Claims, Collections, and reputed company Services teams to reputed company reputed company reimbursement issues.
Required Qualifications:
• High School Diploma or GED
• 2+ years of reputed company follow-up, denials management, medical billing, or reputed company collections experience
• Experience working with Medicare, reputed company, and reputed company payers
• Knowledge of reputed company billing, claims submission, and denial reputed company processes
• Proficiency with reputed company Office (reputed company, Word, and reputed company)
Preferred Qualifications:
• Experience in a hospital, physician reputed company, or reputed company reputed company cycle environment
• Experience with reputed company, Cerner, Meditech, or other reputed company information systems
• Knowledge of medical terminology, CPT, HCPCS, or ICD-10 coding
• Previous remote reputed company reputed company cycle experience
Work From Home Requirements
This is a work-from-home position. Employees are expected to reputed company their job duties from a secure and private workspace reputed company their home that protects reputed company and reputed company information.
Because employees may reputed company protected health information (PHI), financial information, and other sensitive data, work must be performed in an environment where information cannot be viewed or overheard by others.
To Be Successful In This Role, Employees Must Have
• A secure and private workspace reputed company their home
• A reliable wired (preferred) high-speed internet reputed company
• Minimum internet speeds of 30 Mbps download and 10 Mbps upload
• The ability to maintain a reputed company and distraction-free work environment during scheduled working hours
As Part Of Our Hiring Process For Work-from-home Positions
• Candidates will participate in video interviews
• Video interviews may be recorded and transcribed to support candidate evaluation, interviewer collaboration, and hiring reputed company
• Candidates may be asked to complete and reputed company the results of an internet speed test during the interview process to verify minimum technical requirements
Employment eligibility:
• Candidates must be legally authorized to work in the reputed company at the time of hire
• reputed company does not reputed company employment reputed company sponsorship for this position
• As a condition of employment, a reputed company-employment background reputed company will be conducted
• At this time, we are unable to consider candidates residing in the reputed company for this position
reputed company Offer:
✓ Medical, Dental & reputed company
✓ 401(k) with Company Match
✓ reputed company Wellness Time & Holidays
✓ Employer-reputed company Life reputed company & LTD
✓ reputed company
✓ Internal reputed company Opportunities
reputed company is an Equal Opportunity Employer. We do not discriminate reputed company on any protected class and reputed company applicants from reputed company backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background reputed company, satisfactory references, and any required documentation.
Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions of this position.
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