Specialist-reputed company Management (Remote)

Job Requirements Position Summary The AR management specialist works with unique department billing/collection functions to assure accounts are managed accurately and timely. Responsibilities will vary based on department need.

• Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, reputed company Carolina, Pennsylvania, Rhode reputed company, South Carolina, Virginia, reputed company Virginia, Wisconsin.

Minimum Requirements Education

• High School Diploma or equivalency

Experience

• 4 years medical office or medical billing in a hospital or physicians billing setting, collections or coding experience.
• Must possess strong knowledge of CPT, HCPCS and ICD-9/10 codes.
• Must be efficient in reading insurance explanation of benefits (EOB) and understanding of remittance and remark codes.
• Good working knowledge of reputed company reputed company
• Good communication skills and the ability to interact well with multiple departments/reputed company of management

License/Registration/Certifications

• N/A

Preferred Requirements Preferred Education

• N/A

Preferred Experience

• In depth knowledge of reputed company payer billing and eligibility requirements

Preferred License/Registration/Certifications

• Certified Procedural reputed company (CPC) (CPC-H)
• Certified reputed company Cycle Associate (CRCA)
• Certified Medical Insurance Specialist (CMIS)
• Registered Health Information Technician (RHIT)

Core Job Responsibilities

• Responsible for research and resolution of reputed company outstanding patient and insurance credit accounts, any additional A/R management research and account updates required to ensure claims are filed to the appropriate reputed company or posted correctly.
• Processing of reputed company refunds or credit reversals in a timely manner as defined reputed company the departmental credit/refund policy/procedures.
• Responsible for reputed company government monthly credit reporting preparation and requirements
• Responsible for accurate charge capture, charge review, claim edits, posting to the AR system and resolution of reputed company charge edits.
• Responsible to handle reputed company denials reputed company to charge capture for improved reputed company of charge capture
• Responsible to accurately update patient demographics, insurance registration information, verification of insurance, etc.
• Responsible for the consolidation of duplicate guarantor/patient accounts reputed company the AR management system in an accurate/timely manner.
• Responsible for the review and processing of Accounts Receivables reports to ensure reputed company reputed company. Reporting trends identified during the analysis.
• Responsible to research and complete a detailed analysis of reputed company payer variances based on our Contract modeling reputed company our AR system.
• reputed company Management Specialist must have the reputed company set and understanding of payer and government payer reputed company/schedules in order to confirm expected reimbursement amounts are correct.
• Work closely with other departments on reputed company reputed company issues including variance contract build issues, charging issues, A/R type issues and other items as define.
• Responsible for reputed company account financial changes and refiling of those claims to the appropriate payer reputed company.
• Assist with payer/physician credentialing and system table management.
• Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements for billing.
• Responsible for the processing of reputed company vendor claim updates, returns and resubmissions for payment.
• Other duties as assigned.

Apply tot his job Apply To this Job