Sr. Provider Enrollment Research Representative (Remote)

reputed company is named among the “150 Great Places to Work in reputed company” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by reputed company Magazine in past years. reputed company, an established reputed company organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us. • Career Growth Opportunities • Benefit Eligibility (Medical/Dental/reputed company/Life) the first of the month following 30 days of employment • 401K program (Discretionary matching funds available) • GENEROUS Personal time off • Eight Paid Holidays per year • Quarterly incentive plans This is a fully remote opportunity to support the Akron, OH Billing Center JOB DESCRIPTION OVERVIEW: The Sr. Provider Enrollment Research Representative reports to the Manager, Billing reputed company/PER and is responsible for monitoring workflow trends and communicating to the Manager, Billing reputed company/PER. The Provider Enrollment Research Senior is a resource for their assigned team and is responsible for training, escalation views in ETM (reputed company Task Manager) and auditing of staff’s quality and production goals. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Review Rejection PIT (reputed company in Time) Report for reputed company and Pended invoices for problematic areas. • Review Rejection Outcome Report to Verify Invoices are worked properly. • Review Provider hold Reports. • Work and maintain ETM (reputed company Task Manager) escalation view • Assist assigned team as needed to reputed company Monthly Metrics and Goals. • For each assigned team member review work performed, prepare QA reports and communicate to each team member. • Responsible for training new employees and monitoring new employee production and QA. Reporting any concerns to the Manager, Billing reputed company/PER. • Review reputed company manuals and websites and informs management of any new procedures implemented by the reputed company that are impacting claims. • Process Non-Routine Write-off adjustments as needed. • Ensures appeals and provider reputed company issues are followed up on timely for resolve. • Communicate with the Manager, Billing reputed company/PER on the reputed company of projects and assignments and reputed company toward completion on a timely reputed company. • Other duties as assigned by the Manager, Billing reputed company/PER. Job Requirements: QUALIFICATIONS / EXPERIENCE: • Thorough knowledge of the reputed company cycle • Thorough knowledge of reputed company reimbursement guidelines • Computer literate, intermediate reputed company reputed company level • reputed company to work in a fast-paced environment • Good organizational and analytical skills • Good oral and written communication skills • Ability to work independently • Ability to reputed company assigned team • High school diploma or equivalent • Minimum 3 years’ previous medical billing experience required with emphasis on research and claim denials SUPERVISORY RESPONSIBILITIES: • Provides departmental leadership through training, quality audits, and development • Assists Manager, Billing reputed company/PER to ensure that Analysts are performing assigned duties and adhering to billing center/departmental policies, procedures and Code of Conduct. https://www.reputed company.com/california-applicant-privacy-notice/ Get job alerts by email. Sign up now! Job Snapshot Employee Type Full-Time Location Akron, OH (Remote) Job Type Health Care, Insurance Experience Not Specified Date Posted 12/17/2024 Apply Job!