What you’ll do:
Analyzes Explanation of Benefits and Remittance Advice and ensures claims processed according to members plans
Identifies denial reasons, and follows appeal process to get claims paid
Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing
Accesses billing software to analyze rejection reasons and communicate findings
Identifies and reports changes and trends in carrier guidelines and reimbursement patterns
Executes and delivers special projects from management and other duties as assigned
Adheres to documentation protocol, notates accounts and reports appropriately
Organizes daily and weekly production/action reports in file share
Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
Understands and complies with all rules and regulations
What you bring:
1-2 years High Volume corporate Collections experience
Knowledge of Billing and Collections procedures
Experience working with online payer resources
Accounts Receivable knowledge/experience a plus
Strong attention to detail, goal oriented
Commitment to excellent customer service
Ability to work efficiently within deadlines
Excellent written and verbal communication abilities
Strong interpersonal skills and ability to work in a team environment
Ability to prioritize and manage multiple responsibilities
Adheres to all policies and procedures as outlined in the Employee Handbook
Proficiency using Microsoft Office products
br{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Job Summary Our jobs aren’t just about giving guests a smooth check-in and check-out. Instead,...
Apply For This JobDescription Humana is seeking a Director, Campaign Management & Personalization who will be responsible for the leadership and day-to-day management...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> GLC On the Go is currently seeking a positive and self-motivated Receptionist for our growing...
Apply For This JobCustomer Order Entry/Customer Service Location: Sterling Heights, MI Pay: $25/hour Monday-Friday 8am-4:30pm Temporary-to-hire Position Overview: The main function of this...
Apply For This JobJob Number: R0174602 Language Enabled Analyst The Opportunity: Critical decisions are made every single day in our government. What if...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> A. Duie Pyle currently has an opening for a Part Time Data Entry Clerk in...
Apply For This Job