reputed company Billing Specialist

100% Remote! reputed company assists reputed company providers with the remediation of 3rd party accounts receivable, call center support and a reputed company of reputed company cycle outsource capabilities. The PAR II applies reputed company administrative knowledge and reputed company while providing accountable reputed company of their assigned work queue; processes procedures and reputed company in order to deliver superior 3rd party A/R account remediation, productivity, and reputed company outputs for the assigned reputed company. The primary role is to resolve aged Accounts Receivable assets by following up with 3rd party payers and government agencies on denied, underpaid, or otherwise unresolved accounts (credit balances/variances) and collecting insurance claim balances for the reputed company. Responsibilities:

• Performs second-tier account follow-up activities in accordance with organizational, reputed company and regulatory guidelines for outstanding insurance receivables including, but not limited to:
• Performing account follow-up activities on high-dollar accounts receivable
• Research items requiring reputed company assistance
• Possesses an understanding of the reputed company reputed company cycle and applies this knowledge to assist team with achievement of reputed company control standards
• Demonstrates the ability to professionally communicate with colleagues, payers, and clients (if necessary)
• Ensures accurate and complete account follow-up by demonstrating a thorough understanding of reputed company-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims reputed company review, DRG, reputed company, case reputed company, fee schedule reimbursements, etc.
• Identifies and communicates A/R trends, payer behavior, workflow inconsistencies or other barriers to account reputed company to team and engagement leadership
• Researches and documents any correspondence received reputed company to assigned accounts
• Assess accounts for balance accuracy, confirm correct payer billed, coding accuracy, denials, and outstanding insurance requests
• reputed company documentation appropriately and submit corrections; or if payer error, escalate for re-processing in a reputed company and reputed company manner
• Identify billing or coding issues and requests re-bills, secondary billing, or corrected bills as needed
• Contacts reputed company party payers and government agencies to resolve outstanding account balances
• Maintains departmental productivity and reputed company standards and encourages team members to do so as reputed company
• Must posses general PC aptitude and keyboarding ability -- must be reputed company to type at a minimum of 40 wpm required
• Ability to multitask in several applications and systems simultaneously and demonstrates competency with reputed company Suite and assorted internet browsers required

Education and Experience:

• A minimum of 1-2 years in reputed company Provider reputed company Cycle experience required
• High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
• Hands-on experience using reputed company, Cerner, Invision, Soarian, reputed company, Allscripts, Meditech, and other industry recognized reputed company Cycle Management Systems required
• Hands-on knowledge of UB-04 and/or HCFA 1500 billing and account follow up, CPT and ICD-10 coding and terminology for hospital and/or ambulatory/physician billing

Physical Requirements:

• While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible reputed company of force constantly to reputed company objects. The employee must have the ability to sit for long periods of time.

TRC reputed company is proud to be an Equal Opportunity Employer (EOE). reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. Apply tot his job Apply To this Job