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An established industry player in healthcare is seeking a dedicated professional for their revenue cycle management team. This role offers a competitive salary and opportunities for career growth, allowing you to make a significant impact on the resolution of insurance claims. You will engage with insurance carriers daily, ensuring accurate account management while collaborating with various departments to resolve payment issues. Join a supportive and collaborative environment that values work-life balance and provides ongoing training resources. If you're passionate about making a difference in healthcare, this is the perfect opportunity for you.
Employer Industry: Revenue Cycle Management in Healthcare
Why consider this job opportunity:
- Competitive salary with potential for performance-based bonuses
- Opportunity for career advancement and growth within the organization
- Work in a supportive and collaborative environment
- Chance to make a positive impact on the resolution of insurance claims
- Regular and predictable work schedule with flexibility for work-life balance
- Access to ongoing training and development resources
What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on and collect past due amounts on outstanding medical claims
- Maintain an accurate and up-to-date aging of assigned accounts, including accounts receivable analysis and follow-up
- Create and follow up on appeals to protest denials or incorrect payments
- Review complex denials and disputes, resolving issues as necessary
- Work collaboratively across all revenue cycle management departments to resolve claims payment issues
What is Required (Qualifications):
- High School Diploma or GED
- Minimum of 3 years of experience managing Accounts Receivable and direct follow-up with payers
- 3 years of experience working with medical terminology, ICD10, CPT, HCPCS coding, and HIPAA requirements
- 2 years of experience with data processing and proficiency in Excel and Microsoft Office Suite
- 3 years of experience working with commercial, government, and state insurance payers
How to Stand Out (Preferred Qualifications):
- 1 year of experience communicating effectively with insurance payers and internal stakeholders
- Experience working with medical practice management software and electronic medical records
- Strong analytical skills and ability to handle complex insurance issues
#Healthcare #RevenueCycleManagement #ClaimsResolution #CareerGrowth #CustomerService
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