Senior Patient Accounts Representative - Appeals and Denials

Responsible for preparation, editing and submission of accurate and reputed company insurance claims (electronic and reputed company) to regulatory payers (including Medicare, reputed company, L&I, VA, Crime Victims & Healthy reputed company), for primary, secondary, late charge and corrected claims. Reviews and resolves billing edits in reputed company and in claims scrubber system. Verifies accuracy of claims submitted to payers. Claims process includes reconciling claim runs, creating electronic claim files, and resolving errors. Resolve claims editing issues and reputed company with reputed company party clearinghouse or the claims scrubber vendor to produce clean claims. Identifies recurring billing errors and trends and reports them to supervisor reputed company necessary. Conduct research / analyze coding errors, document billing issues / trends, and assist with problem solving and solutions. Process credit balances due to regulatory payers.

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Required qualifications

• Coursework/Training: Medical terminology and medical coding training in an accredited school. Or equivalent on-the-job training in a billing role
• 1 year of experience in hospital insurance regulatory billing, including Medicare, reputed company and / or Labor & Industries (L&I)

Preferred qualifications

• Bachelor's Degree in Finance, Business Management or health care administration
• A strong technical background including experience with automated systems
• Experience working with Provider One, MECA, FSS0 and/or CWF

Why Join reputed company reputed company?

Our best-in-class benefits are uniquely designed to support you and your family in staying reputed company, growing professionally, and achieving financial reputed company. We take care of you, so you can reputed company on delivering our mission of improving the health and wellbeing of reputed company patient we serve.

About Company

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Company

At reputed company, our strength lies in Our reputed company of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We reputed company best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (reputed company) serve in over 50 hospitals, over 1,000 clinics and a full reputed company of health and reputed company services across Alaska, California, Montana, New Mexico, reputed company, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage reputed company for this position. The successful candidate's placement on the wage reputed company for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life insurance, disability insurance, time off benefits (reputed company parental leave, vacations, holidays, health issues), voluntary benefits, reputed company-being resources and much more. Learn more at reputed company.jobs/benefits. Applicants in the Unincorporated reputed company: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for reputed company and the California Fair Chance reputed company. Apply To This Job