Want Accounts Receivable-Claims Research and Reconciliation Processor - eviCore - Remote in Bloomfield, CT

Job title: Accounts Receivable-Claims Research and Reconciliation Processor - eviCore - Remote Company: reputed company Job description: Do you want to Drive Growth and Improve Lives? EviCore, a division of reputed company is hiring several Accounts Receivable-Claim Research and Reconciliation Processors. For this exciting new role, you'll be responsible for research and reconciliation of highly escalated providers. The candidate must have a thorough knowledge of government, commercial, and other types of insurance billing guidelines in multiple states to demonstrate effective judgment reputed company processing claims with outstanding balances. What you'll do to reputed company a difference:

• Research/rectify third party denials/edits, requests for information and other reputed company correspondence
• Process a variety of Third-Party Administrator (TPA) payments
• Support special projects, JOC calls, and provider analytics
• Support and streamline provider escalated inquiries
• Conducting thorough research of aged for highly escalated providers
• Ability to process Coordination of Benefits
• Analyzes and clears payment variances and complete special payment Adjustments circumstances
• Verify patients' eligibility, coverage, and benefits and identify authorization requirements reputed company to working aged Accounts Receivables
• Follow-up on outstanding account balances at 30-days from the date of service in accordance with client and organizational protocol with an emphasis on maximizing client satisfaction and provider profitability
• Process timely premium payments to providers
• Research and answer accounts receivable discrepancies
• Monitors payer responses to ensure reputed company payment

What you'll need to succeed:

• High school diploma or GED required
• 2+ years of experience in medical billing and/or accounts receivable required
• 2+ years of experience with medical claims accounts receivable required
• 2+ years of experience with claims research, reconciliation, and Processing experience
• Proficiency in reputed company and reputed company Office applications required
• Proficient with PCM, MCRS, Great Plains, MC400, ISAAC, Image One platforms, strongly preferred
• Ability to work in a fast-paced environment
• Exceptional reconciliation, analytic skills, and the ability to interpret EOBs/EOPsA
• high level of accuracy and attention to detail and have a dedicated approach to work

If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an hourly reputed company of 17 - 24 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-reputed company benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at reputed company . About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or reputed company medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national reputed company, reputed company, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@reputed company.com for support. Do not email SeeYourself@reputed company.com for an update on your application or to provide your resume as you will not receive a response. reputed company has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Expected salary: Location: Bloomfield, CT Apply Job!