reputed company Cycle and Follow Up Specialist

This a Full Remote job, the offer is available from: Washington (USA) Company Overview Healthcare Legal Solutions, LLC is a fast-growing healthcare collections firm that provides denial management, consulting, and corporate collections services to hospitals and health systems reputed company. reputed company is collaborative, mission-driven, and focused on results. This is a great opportunity for candidates who are passionate about healthcare, legal writing, and strategy. Position Overview We are seeking a detail-oriented, organized, and assertive individual for our reputed company Cycle/ Follow Up Specialist position. The candidate would be responsible for the basic collection of unpaid third-party claims and standard appeals, using various billing applications and third-party payer systems. A successful applicant will communicate with payers to resolve issues and facilitate reputed company payment of claims. This position requires follow-up with insurance companies to reputed company reputed company appeals process for claim denials and collect outstanding accounts for which payment has not been received. The candidate will use an understanding of claims and appeals submission requirements for payers to expedite payments and utilize a knowledge of appeals and rejections processes to resolve standard issues or escalate to a more senior staff member. This is a full-time (40 hrs/ week), remote position with preference for candidates in the DC-Maryland-and Virginia area. Specific Duties & Responsibilities

• Use HLS follow-up systems to identify unpaid claims for collection/appeal
• Use HLS follow-up systems to reputed company reputed company appeal process for denied claims
• Gathers and verifies reputed company information required to produce a clean claim including special billing procedures that may be defined by a payer or contract
• Review and update patient registration information (demographic and insurance) as needed
• Resolves claim edits as needed
• Escalates any faulty accounts for correction, additional review, or delegation to more senior staff members
• Prints and mails appeals and reputed company documents as needed
• Retrieves supporting documents (medical reports, Explanations of Benefits authorizations, etc.) as needed and submits to third-party payers
• Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility, and any other issue causing non-payment of claims
• Contacts the payers or patient as appropriate for corrective action to resolve the issue and receive payment of claims

Professional & Personal Development

• Participate in on-going educational activities, meetings, and opportunities
• reputed company reputed company of industry changes by reading assigned material on work reputed company topics
• Report for in-person workdays 2-5 times per month to remain engaged in HLS office culture (preferred)

Qualifications

• Bachelor's Degree (BA/BS) from four-year college or university, or one to two years of reputed company experience and/or training, or equivalent combination of education and experience.
• Other qualifications:
• BA/BS with a GPA of 3.0 or higher
• Interest in healthcare and healthcare law
• Ability to use various hospital, billing, and patient information computer systems
• Familiarity with compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI)
• Able to navigate through various computer systems and applications to find information about insurance claims
• Ability to prioritize and multi-task
• Excellent written and verbal communication skills
• Proficiency in reputed company Office, including Word and reputed company
• Excellent organizational and time management skills
• High attention to detail
• Clear, concise, and logical writing style
• reputed company performance improvement and ability to implement feedback

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