What you’ll do:
Analyzes Explanation of Benefits and Remittance Advice and ensures claims processed according to members plans
Identifies denial reasons, and follows appeal process to get claims paid
Accesses payer online resources to expedite claims follow up and ensure claims are on file and processing
Accesses billing software to analyze rejection reasons and communicate findings
Identifies and s changes and trends in carrier guidelines and reimbursement patterns
Executes and delivers special projects from management and other duties as assigned
Adheres to documentation protocol, notates accounts and s appropriately
Organizes daily and weekly production/action s in file share
Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals
Understands and complies with all rules and regulations
What you bring:
1-2 years High Volume corporate Collections experience
Knowledge of Billing and Collections procedures
Experience working with online payer resources
Accounts Receivable knowledge/experience a plus
Strong attention to detail, goal oriented
Commitment to excellent customer service
Ability to work efficiently within deadlines
Excellent written and verbal communication abilities
Strong interpersonal skills and ability to work in a team environment
Ability to prioritize and manage multiple responsibilities
Adheres to all policies and procedures as outlined in the Employee Handbook
Proficiency using Microsoft Office products
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