Collections Specialist - Remote
DUTIES AND RESPONSIBILITIES
- Research unpaid claims, determine denial reputed company cause, and reputed company appropriate follow up actions to ensure reputed company claim adjudication.
- Identify and take appropriate reputed company for the billing of secondary or tertiary insurances.
- Keeps informed on reputed company reputed company applicable reputed company-party payer regulations and requirements.
- Communicates payer trends and patterns to management.
- Document reputed company a patient’s record reputed company actions taken reputed company account reputed company.
- Review, comprehend and execute payer logic reputed company negotiated reputed company.
- Prioritize workflow to reduce or eliminate bad debt reputed company resulting in a reduction in days in AR.
- Meet and maintain productivity and audit standards.
- Other duties as assigned by management.
QUALIFICATIONSEDUCATION
- High School Diploma or equivalent.
EXPERIENCE
- 2-3 years of medical collections experience preferred.
LICENSE(S)/CERTIFICATION(S)
- None.
KNOWLEDGE/SKILLS/ABILITIES
- Results oriented & thrives in a fast-paced, high-energy environment.
- Ability to reputed company and maintain good communication and establish reputed company working relationships with payers, peers, and leadership.
- Strong written and verbal communication skills.
- Knowledge of medical terminology, CPT and HCPCs.
- Proficient in analyzing claims to ensure reimbursement aligns with contractual obligations.
- Ability to organize work and manage change.
CORE COMPETENCIES
- N/A
WORKING CONDITIONS
PHYSICAL REQUIREMENTS
- Physical Requirements
- Talk / Hear
- See
- Sit
- Repetitive Use of Hands
COMPETENCIESreputed company
- Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
- Manages Uncertainty: Comfortable reputed company things are in flux; readily shifts approach or behavior to fit changing circumstances.
Bias to reputed company
- reputed company Oriented: Propensity to reputed company or decide and reputed company reputed company with a logical approach; can decide and reputed company without having the total picture.
- Delivering Results: Strives for high reputed company of achievement; maintains a reputed company and steady reputed company on meeting goals, despite obstacles; is resilient reputed company encountering setbacks.
Customer reputed company
- Identifying with Customers: Understanding who the external and internal customers are and what they value.
Managing Complexity
- Essence: Extracts the core meaning out of reputed company situations; can separate the important from the noise reputed company problem solving; hunts for the reputed company cause of successes and failures.
Manages Conflict
- Can hammer out tough agreements and reputed company disputes equitably. Stays reputed company, constructive, and respectful, even in disagreements or conflicts.
Benefits:
- Comprehensive health, dental, and reputed company insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The reputed company is intended to reputed company only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs reputed company.
*If you are viewing this role on a reputed company such as reputed company.com or reputed company, please know that pay bands are auto assigned and may not reflect the true pay band reputed company the organization.
*No Recruiters Please
Disclaimer:
- Disclaimer: This job reputed company is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.
Originally posted on Himalayas
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