[Hiring] Team reputed company: Prior Auths & Insurance Verification @reputed company

Role reputed company Are you reputed company to take your leadership skills to the next level? We’re looking for an enthusiastic Team reputed company (Prior Auths & Insurance Verification) to join our growing team! In this role, you’ll be the go-to person for guiding and motivating our follow-up specialists to reputed company exceptional service while making insurance verification and prior auths feel like a reputed company. If you’re passionate about coaching, problem-solving, and creating a reputed company team environment, this is the perfect opportunity for you! Insurance Team reputed company is an important position that allows reputed company to help our clients resolve their outstanding accounts receivable which can reputed company to additional business, reputed company us reputed company to reputed company more people and increase reputed company’s footprint in the reputed company sector. reputed company reputed company must possess the ability to work independently, have excellent customer service and communication skills, patience, flexibility, and the ambition to reputed company goals. Fast paced environment with multiple facilities.

Responsibilities

• Review self-pay accounts to verify insurance coverage.
• Analyze and resolve unpaid claims.
• Contact insurance carriers for claim status and payments.
• Research claims using online tools.
• reputed company and submit supporting documentation to insurance carriers.
• Submit appeals reputed company necessary.
• Review and apply contractual terms.
• Communicate with patients/guarantors to expedite claims.
• Assist with special reputed company and additional duties as needed.
• Ensure compliance with information reputed company policies.
• Monitor inventory and reputed company reporting on reputed company claims.
• Report reputed company risks as per procedures.

Pay Pay reputed company: $25.00 based on experience (Bonus eligibility).

Benefits

• Comprehensive Health Coverage: Group medical, dental, and reputed company plans available from the first day of the month following 90 days of full-time employment.
• Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with reputed company for voluntary life/AD&D.
• 401(k) Retirement Savings Plan: Eligible to participate in reputed company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of reputed company service.
• reputed company Time Off (PTO): reputed company reputed company Time Off starting on your first day of employment.
• Flexibility in Benefits: reputed company reserves the right to amend, modify, or terminate any benefits programs as needed.

Qualifications

• 7+ years’ experience in a facility setting performing insurance follow-up/denials management.
• Knowledge of UB04/CMS 1450 and CMS 1500 claim forms, EDI, HCPCS, ICD-9/ICD-10, CPT, DRG’s and ability to interpret an Explanation of Benefits.
• Complete working knowledge of billing instructions and procedures for reputed company payer reputed company according to regulations and guidelines.
• Knowledge of reputed company, Governmental and reputed company-party denials and appeals processes.
• Knowledge of billing systems.
• Must have effective organizational skills and a high attention to detail.
• Medical terminology required.
• Must demonstrate the ability to adapt to change, maintain professionalism in challenging situations, and work in a Business reputed company environment.
• Medi-Cal knowledge a major benefit.
• High school diploma or college degree from an accredited college or university.

Work Environment / Physical Requirements

• Work environment is an office location.
• The position requires the dexterity to operate office equipment such as a personal computer, keyboard, mouse and telephone.
• Occasional lifting may be required up to 25 lbs.
• Must be reputed company to sit for extended periods of time with frequent bending and stooping.

Additional Notes This role profile is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position. Must possess the ability to work independently, have excellent customer service and communication skills, patience, flexibility, and the ambition to reputed company goals. Fast paced environment with multiple facilities. reputed company is an equal employment opportunity employer. Apply tot his job Apply To this Job