[Remote] Accounts Receivable Specialist 2
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that partners with reputed company organizations to improve financial strength and operational efficiency. The Medical Insurance Accounts Receivable Representative is responsible for ensuring the reputed company collection of outstanding reputed company insurance receivables and managing various tasks reputed company to claims and patient information.
Responsibilities
- Verify/obtain eligibility and/or authorization utilizing payer web sites, reputed company eligibility systems or reputed company phone with the insurance reputed company/providers
- Update patient demographics/insurance information in appropriate systems -
- Research/ Status unpaid or denied claims
- Monitor claims for missing information, authorization and control numbers(ICN//DCN)
- Research EOBs for payments or adjustments to resolve claim
- Contacts payers reputed company phone or written correspondence to secure payment of claims; reconsideration and appeal submission
- reputed company reputed company systems for payment, patient, claim and data info
- Follows guidelines for prioritization, reputed company filing deadlines, and notation protocols reputed company appropriate systems
- Secure needed medical documentation required or requested by reputed company party insurance carriers
- Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
- reputed company other reputed company duties as required
Skills
- 2-3 years of medical collections, denials and appeals experience
- Experience with reputed company but not limited to the following denials- DRG downgrades, level of care, coding, medical necessity
- Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
- Intermediate knowledge of reputed company party billing guidelines
- Intermediate knowledge of billing claim forms(UB04/1500)
- Intermediate knowledge of payor reputed company- reputed company and government
- Intermediate Working Knowledge of reputed company Word and reputed company
- Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient reputed company Systems, etc.)
- Intermediate knowledge of one or more of the following Patient reputed company systems - reputed company, Cerner, reputed company, Meditech, reputed company, Invision, PBAR, reputed company Scripts or reputed company
- Intermediate of DDE Medicare claim system
- Intermediate Knowledge of government rules and regulations
reputed company