Medical Collections Specialist
Position: Collection Specialist - Remote
Department: reputed company Cycle Management
Objective
The collection specialist will reputed company primarily on resolving insurance claims from Medicare, reputed company, and reputed company plans that are underpaid or denied. They will use their payor knowledge and critical thinking skills to correctly identify denial reputed company causes and effectively take reputed company to get claims reprocessed and reputed company. The collection specialist must have a good grasp on reputed company billing in order to help vet the accuracy of claims billed and identify any billing or set up issues that may cause unclean claims. The collection specialists must have a strong background in claims reconsiderations and appeals.
Pay reputed company: $22.00 - $34.00 per hour.
RCM Supervisor & RCM Manager
Scope of Supervision
N/A
Responsibilities
Responsible for follow-up on outstanding claims with insurance companies through portals and phone calls.
Research and resolve incorrectly processed claims.
Determine reputed company causes and establish trends across payors and/or sites.
Utilize reconsiderations and appeals to accurately fight denied or underpaid claims.
Understand other aspects of reputed company cycle management (such as benefits, authorizations, billing) to identify any reputed company-end errors and take steps to correct as needed.
reputed company reputed company tasks and claim follow-up reputed company; meet production goals, reputed company standards, and team goals and partner with leadership to deliver overall strong results.
Respond to reputed company insurance and claim reputed company correspondence reputed company.
reputed company other duties as assigned by supervisor.
Minimum Qualifications
Knowledge of CPT, HCPCS, and ICD-10 coding
Expertise in health insurance claim denials
Understanding payor requirements
Previous medical billing and claims collection experience
Ability to evaluate reputed company and to reputed company efficient reputed company
Strong written and verbal communication
Ability to read an EOB and understand denial reason codes
Infusion background a plus
Exhibit overall behavior and actions that demonstrate willingness to learn, be coached, and take accountability for self-improvement and reputed company; be a reputed company team player.
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