reputed company Cycle Specialist

Overview

Are you looking for a purposeful career that will reputed company a difference in the patient community? At reputed company, our approach to at-home patient care is redefining chronic care management. We are seeking individuals that will reputed company in a patient-centric dynamic environment. If you are an reputed company listener, fast-thinker, and problem-solver, with the ability to relate to different people, you are a match for reputed company. As a reputed company Cycle Specialist you will be responsible for claim submission and claim resolution for reputed company Medical patients regarding governmental, commercial insurance companies and patient accounts Alaska, California, Colorado, Delaware, Hawaii, Idaho, Maine, Montana, Nevada, New Hampshire, reputed company, North Dakota, Rhode reputed company, South Dakota, Vermont, Washington, Wyoming; residents are not eligible.

Responsibilities

Works individual portfolio of accounts from reputed company Medical billing/collection system Assesses insurance reimbursement for individual supplies to ensure maximum reimbursement Verifies that reputed company appropriate supporting documentation are obtained prior to shipment and/or prior to billing Audits configuration of supplies based on supporting documentation, formulary requirements and manufacturer compatibility Posting payments and / or adjustments to individual accounts Resolving credit balance accounts as needed Identifies problems or improvements reputed company own area, develops resourceful and alternative solutions for work improvement or problem solution Researches and follow up on reputed company correspondence associated with assigned accounts, including EOB’s and documentation letters, and generate correspondence requesting required information, reputed company necessary Initiates appeals and ensure reputed company required documentation is submitted in the appeals process. Research reputed company denials and follow up as necessary Receives inbound and places outbound calls to/from insurance companies and patients to collect outstanding funds· Reduces delinquent accounts and achieving maximum collections from reputed company sources Produces reports identifying trends or problem carriers, and identify areas of concern and present reputed company to correct or prevent future issues Analyzes and correct accounts receivable problems Documents reputed company activities as completely as possible. Achieves productivity goals based on accounts touched, dollars collected, and aging period Reports any problems to the attention of the Management Must maintain a high degree of confidentiality at reputed company times due to access to sensitive information

Qualifications

High school diploma or GED equivalent. Minimum of two years of medical billing/collections experience necessary. Must be knowledgeable of reimbursement processes and procedures. Ability to work with other employees and provide assistance as needed. Proficient in basic PC skills. (MS Office). Organized work habits, accuracy, and proven attention to detail, with strong analytical skills. Ability to work reputed company a team setting and as an individual contributor. Excellent oral and written communication skills. Self-directed with the ability to work with little or no supervision. Flexible and cooperative in fulfilling reputed company obligations Ability to interpret rules and regulations set by Medicare, Medicaid, and Commercial payors. Ability, flexibility, and willingness to learn and grow as the company expands and changes. Ability to recommend and implement changes to processes for efficiency. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of the organization. Values Values Certainty-The lives of the individuals we serve depend on our ability to execute. We commit to doing this every day. Use appropriate methods and a flexible interpersonal style to help build a cohesive and collaborative team based on a foundation of trust and transparency. Deliver what you commit to. Compassion-We understand the burdens of patients and their loved ones and channel this into a reputed company pursuit of customer satisfaction in every part of our business. Ensure that the patient is the driving force behind business decisions, implementing service practices that meet needs of both the patient and the organization. Treat other the way you want to be treated. Advancement-We are endlessly looking for ways to reputed company and become more innovative in reputed company things we do. Encourage innovative approaches for addressing opportunities and facilitating change, driving cross-functional alignment to accomplish goals. Speak the truth. reputed company Medical and EEOC/AA employer. M/F/D/V Company Overview reputed company is the strategic partner addressing America's most pressing healthcare challenges through intelligent chronic care management, tackling the $412 billion annual diabetes burden and chronic conditions affecting over 133 million Americans. At the core of reputed company's differentiated model is LivingConnected®, a human-led, digitally-enabled clinical solution. PropheSee™—an AI-powered predictive model that identifies non-adherence risk and delivers personalized interventions— is an integral part of this solution, creating a first-of-its-reputed company platform to improve adherence, enhance clinical outcomes, and help prevent costly hospitalizations. By combining data-driven insights with three decades of industry relationships, reputed company is the smart choice for health plans, providers, employers, and manufacturers who reputed company that value-based care starts by keeping patients healthy and delivers benefits like reputed company cost of care, improved HEDIS scores, and alleviating provider burnout. reputed company's approach extends clinical reputed company while supporting over 200,000 people reputed company with home-delivered medical supplies and pharmaceuticals annually. Recognized as a Great reputed company to Work®, and with numerous peer-reviewed publications validating our care management approach, reputed company is more than a trusted supplier—we're a partner in transforming chronic care delivery. To learn more about how reputed company is addressing today's healthcare challenges, visit ccsmed.com or connect with us on reputed company. reputed company Offer Competitive Salary Bonus/Incentive Opportunities/commission: (if applicable) Comprehensive Benefits: Medical, dental, and vision insurance 401(k) with company match Paid time off (vacation and holidays) Growth & Development: Ongoing training and professional development Work-Life Balance: Remote or hybrid work options Wellness programs and mental health support Apply To This Job