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An established industry player in healthcare revenue cycle management is seeking a dedicated professional to join their team. This role offers the chance to engage in meaningful work that directly impacts patient care and financial health. With a supportive environment focused on ethical practices and compliance, you will have opportunities for career advancement and skill development in medical billing and claims management. If you're looking to make a difference while growing your career, this position is perfect for you.
Employer Industry: Healthcare Revenue Cycle Management
Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Engaging in meaningful work that directly impacts patient care and financial health
- High level of skill development in medical billing and claims management
- Chance to work with a dedicated team focused on ethical practices and compliance
- Competitive benefits package including health insurance and retirement plans
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 resolve issues related to payment discrepancies
- Collaborate with various RCM departments to ensure timely resolution of claims payment issues
What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or GED
- 3 years of experience managing Accounts Receivable and performing direct follow-up with payers
- 1 year of experience communicating effectively with insurance payers and internal teams
- 3 years of experience working with medical terminology, ICD10, CPT, HCPCs coding, and HIPAA requirements
- Proficiency in Excel and Microsoft Office Suite, along with experience in medical practice management software and electronic medical records
How to Stand Out (Preferred Qualifications):
- 3 years of experience working with commercial, government, and state insurance payers and their reimbursement policies
- Experience managing complex insurance issues, including EOB adjustments and refunds to accounts
#HealthcareRevenueCycle #ClaimsManagement #CareerGrowth #CustomerService #MedicalBilling
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