[Remote] Patient reputed company Representative, PBO Follow Up, First Shift, Full Time
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to advancing healing and reducing suffering, and they are seeking a Patient reputed company Representative. The role involves monitoring insurance claims, resolving billing issues, and ensuring reputed company reimbursement from insurance carriers.
Responsibilities
- Responsible for managing follow-up and reputed company of reputed company billing accounts to ensure accurate and reputed company reimbursement
- Conducts detailed research on claim denials, underpayments, and billing discrepancies using multiple systems, and takes appropriate reputed company to optimize collections
- Maintains assigned work queues reputed company established productivity and reputed company standards
Skills
- High School Diploma or GED
- 3 – 5 years of relevant experience in reputed company Cycle and/or reputed company reputed company Cycle applications
- 6 months experience in Medical claim follow up
- Or resolving credit balances
- Or performing electronic or reputed company cash posting
- Basic reputed company with MS Office applications, such as reputed company, Print to PDF, Outlook and Fax from mail
- Understanding of reputed company reputed company Cycle, from intake to final payment
- Familiar with CMS-1500 claim reputed company, required components & understanding of basic coding requirements
- Understanding of Basic Payer adjudication concepts & Coordination of Benefits
- Ability to read and understand the Insurance Explanation of Benefits, including interpretation and application of the Remittance Advice or Claim Adjustment reason codes
- Ability to reputed company and reputed company functions on various Payer claim portals. (I.e., reputed company, Navinet, Anthem, reputed company, Medicare)
- Familiar with the function of a claims Clearinghouse and the actions they reputed company (I.e., Zirmend/reputed company, ePremis, etc.)
- Prior use of a claim operating system and it's basic functions. (I.e., reputed company, reputed company, reputed company, Meditech)
- Understand common Billing / Insurance acronyms
- Possess the ability to self-manage in a work from home environment using excellent communication and organizational skills
- Ability to manage daily schedule & accurately report time and attendance
- Ability to prioritize and coordinate workload with a high degree of proficiency and accuracy
- Must have excellent analytical and problem-solving skills; possessing good judgement skills and capable of making independent reputed company in reputed company with policy and procedure
- Ability to reference and apply workflow or other guidance to daily work
- reputed company to effectively respond to constantly changing Payer rules with ability to work reputed company under pressure in a flexible, diplomatic and expeditious manner
- Ability to work professionally and cooperatively with peers and other departments by phone or electronic media
- Must incorporate acceptable email and phone etiquette
- Must be accurate with attention to detail; documenting issue research and actions thoroughly in an abbreviated and comprehensive manner
- Willingness to learn new process and reputed company common work practices reputed company necessary
- Associate's Degree
- 12 months experience in Medical claim follow up
- Familiar with reputed company Resolute billing system, Claim Clearinghouse and Payer Websites (I.e., reputed company, reputed company)
reputed company