Senior Medical AR & Denials Specialist

Quest Diagnostics Incorporated; Irving (TX); Vor Ort; USD 24.000 - 34.000; Vollzeit

Benefits dieser Stelle

Medical, dental & vision (FT)

401(k) with company match

Education assistance

Zusammenfassung

Quest Diagnostics Incorporated is seeking a Sr. Collections Representative to manage third-party AR, analyze denied claims, and contact insurers. This role operates Monday to Friday, 8:00 AM–5:00 PM CST and offers comprehensive benefits and a competitive hourly pay.

The ideal candidate will be proficient in explanations of benefits, HIPAA compliance, and working with payors to resolve issues while maintaining production and quality standards.

Qualifikationen

• High School Diploma / GED
• Must be 18 years of age or older
• Ability to create and modify spreadsheets within Microsoft Excel
• Ability to work between the hours: Monday - Friday 8:00AM - 5:00PM CST

Aufgaben

• Responsible for managing Third - Party AR by analyzing denied and un-responded claims
• Outbound calls to insurance carriers to appeal and check claims status
• Coordinate with insurance carriers to reconcile/resolve any issues
• Familiar with explanation of benefits
• Always Maintain Compliance and HIPAA standards
• Meet or exceed daily production standards by maintaining work list according to metrics
• Meet or exceed daily quality standards
• Perform other duties and functions as assigned
• Process insurance/patient refunds and adjustments
• Evaluate and respond to all emails request for any AR issues to resolve in a timely matter
• Researching Payors and informing of any updates to medical policies/bulletins
• Review billing requirements, and analysis of denial trends with payors, etc. denial trends with payors, etc.

Kenntnisse

Excel

Ausbildung

High School Diploma / GED

Jobbeschreibung

Quest Diagnostics Incorporated is seeking a Sr. Collections Representative to manage third-party AR, analyze denied claims, and contact insurers. This role operates Monday to Friday, 8:00 AM–5:00 PM CST and offers comprehensive benefits and a competitive hourly pay.

The ideal candidate will be proficient in explanations of benefits, HIPAA compliance, and working with payors to resolve issues while maintaining production and quality standards.