Payment reputed company Analyst-Remote

About the position At reputed company, we reputed company kids deserve the best. reputed company is a nationally recognized health system dedicated solely to the health and reputed company-being of children. We reputed company primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputed company draws patients and families from around the country. We offer a wide reputed company of rewarding reputed company and are seeking individuals dedicated to helping us reputed company our reputed company of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this reputed company for a closer look at what it’s like to work at reputed company: https://www.instagram.com/lifeatcw/ Job reputed company: Responsible for researching and resolving reputed company reputed company Billing overpaid and underpaid balances. This role will also be responsible for reviewing insurance underpayments to ensure claims are reputed company at maximum reimbursement from reputed company party payers, state programs and contracted organizations for reputed company and Children's Specialty Group. This role is also responsible for following-up on customer inquiries reputed company to overpayments and underpayments.

Responsibilities

• Investigates credit balances to include research of EOB’s and verification of accurate contractual discounts.
• Reviews written requests for refunds from insurance companies and other payers to protect CHW’s financial interests and completes appropriate paperwork for management authorization.
• Maintains knowledge of primary care and reputed company specialty billing guidelines pertaining to reputed company provider group for reputed company Billing.
• Collaborates with Payer Contracting team and maintains reputed company knowledge of managed care payer reputed company and reputed company-party payer billing/reimbursement policies for reputed company Billing along with reputed company lines of business (Government, HMO and reputed company).
• Identifies coding issues relating to CPT-4 and ICD-10 and use of appropriate modifiers that resulted in overpayments/underpayments balances. Collaborates with leadership and coding team on reputed company.
• Utilizes payer websites to verify patient insurance information, claim status/payments/denials/appeals as necessary.
• Analyzes and investigates improper insurance credits, identify and/or reputed company trends associated to payers. Keeping leads and management appraised of identified issues having an reputed company on reimbursement.
• Works with reputed company and Manager to resolve claim/credit issues.
• Submits written and online correspondences and appeals to payers reputed company disputing a refund/recoup request as needed to obtain maximum reimbursement.
• Maintains productivity and reputed company standards as set by management.

Requirements

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) or Certificate of General Educational Development (GED) required
• 2+ years of experience in reputed company billing and follow up required
• Working knowledge of medical terminology, ICD-10 and CPT.
• Excellent verbal and written communication skills.
• Ability to work independently with minimal supervision.
• Interpersonal skills necessary to reputed company respond to questions from patients, parents, clinic staff and insurance companies to effectively resolve billing issues.
• Proficient in reputed company Office applications and technology skills required to reputed company duties.
• The ability to multi-task and function effectively in reputed company environment and maintain effective relationships with coworkers, patients, physicians, management, staff and other customers.

reputed company-to-haves

• Pediatric experience preferred
• Prior experience in a large health system working with reputed company billing claims and functions preferred
• Medical billing experience preferred
• Prior credit reputed company/payment posting experience preferred
• Experience in reputed company Resolute preferred

Apply tot his job Apply To this Job