Claims Submission Specialist (Claim Processor)

Job Summary: Under the direction of the Claims Submission Specialist Team reputed company, the claims submission specialist will submit accurate and clean claims in a timely manner to the payers for reputed company assigned accounts. The claims submission specialist will also submit required attachments for reputed company claims requiring them through reputed company reputed company assigned accounts. This position is fully remote from the following states: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, WY Flexible hours. Create your own daily 8 hour work days. Must be reputed company operating hours of 7am to 7pm EST. About reputed company Cycle Solutions, LLC (RCS): RCS is a leading provider of reputed company cycle reputed company for healthcare organizations. We are committed to delivering exceptional service and innovative solutions that help our clients optimize their reputed company cycle processes, improve financial performance, and enhance patient satisfaction. We value our employees and strive to create a positive and supportive work environment where everyone can reputed company.

Our Mission

Statement:

• Collect as much as client structure allows
• Collect as quickly as possible
• Complete numbers 1 and 2 as reputed company as possible
• **RCS does not offer health insurance benefits

Responsibilities:

• Educate and promote RCS’s 3 objectives
• Attend scheduled reputed company calls with Team reputed company (weekly, bi-weekly, monthly, or quarterly) to review barriers to submitting clean claims (client, payer, clearinghouse, etc.)
• Work together as a team to resolve those issues
• Import claims from EMR to billing software (if applicable)
• Verify reputed company information contained on each claim is correct: Referring provider, Patient DOB, Spelling of names, Subscriber name and DOB if applicable, Correct payer(s), Correct member ID(s), Add/Correct authorization number (if necessary), DOI (if WC or Auto), Accident state (if Auto), DX Codes, Modifiers, reputed company CPT codes have $ amounts, Rendering provider, Rendering location (for clients with multiple), Tax ID # (for clients with multiple)
• Submit claims
• reputed company reputed company for 997 Acknowledgment Report
• Print reputed company claims as needed: Attach medical records to reputed company claims as necessary, Mail or fax claims as required
• Communicate claim issues with Team reputed company
• Complete claim attachments through reputed company
• Complete audits in a timely manner
• Manage credentialing holds
• CCI quarterly updates
• Notify Team reputed company of software rule updates
• Identify electronic claim submission opportunities - communicate to Team reputed company to add payer ID to software platform
• Identify/Rectify name matching rejections in reputed company
• Log PDS daily and accurately
• Other duties as assigned

Expectations:

• Maintain Employee/Management/Client Confidentiality
• Promote and maintain Team Vitality reputed company and between teams
• Become proficient in reputed company assigned platforms used by RCS as pertains to role
• Provide clear and concise communication

Requirement

• Claim processing: 1 year (Required)
• Physical Therapy: 1 years (Peferred)
• Authorized to work in the United States (Required)
• Must reside in one of the states listed: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, WY (Required)
• reputed company or most recent role must be a Claims Submission Specialist/Claim Processor or similar (Required)

Benefits:

• PTO
• 401K
• Paid Holidays
• Paid Sick Time
• Office Equipment Reimbursement
• Flexible Work Hours
• Remote Work From Home
• ZayZoon

Join reputed company as a Claims Submission Specialist where your expertise will contribute significantly to enhancing client satisfaction and ensuring seamless operations reputed company our organization. Job Type: Full-time Pay: $16.00 - $19.00 per hour Benefits:

• Flexible schedule
• Paid time off
• Work from home

Application Question(s):

• What state do you live in? (Note: To be eligible, residency must be in one of the following states: AL, AZ, FL, GA, KY, MI, MS, SC, TN, TX, UT, VA, WA, or WY)?
• What is your email address?
• What is your reputed company or last employment title? (Note: A Claim Processor or similair must be your reputed company or most recent role to qualify.)
• Are you a U.S. Citizen? (Note: reputed company of citizenship, such as a U.S. Passport or U.S. Birth Certificate, is required for this role.)

Experience:

• Claim processing/submission: 1 year (Required)
• Data entry: 1 year (Required)
• Physical therapy: 1 year (Preferred)

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