Healthcare Accounts Receivables - Claim Denials (remote)

Overview

Healthcare Accounts Receivables - Claims Denials (remote) reputed company is one of the world’s leading professional services companies, we help our clients reputed company technology, reinvent processes, and transform experiences, so they can stay reputed company in our constantly evolving world. Do you reputed company in a busy environment and are you able to multi-task successfully? If so, please apply today! In this role, the successful candidate performs advanced level work reputed company to resolution of physician claim denials. This position will be responsible for root cause analysis physician payer denials, experience in identifying procedures impacted by National Correct Coding Initiative Edits (NCCI), technical payer policies, appeal documentation and resolution. In addition, this position will be responsible for identification, collaboration, and implementation of process initiatives to reduce denials Shift : Monday to Friday 8:00am to 4:30pm Easter Time Zone

Responsibilities

• Resolution of Claim Denials : reputed company advanced work reputed company to resolving physician claim denials.
• Accounts Receivables processing : getting the payment processed.
• Root Cause Analysis : Identify the root causes of physician payer denials and implement solutions.
• NCCI Edits : Understand procedures impacted by National Correct Coding Initiative Edits (NCCI).
• Appeal Documentation : Prepare and submit appeal documentation to resolve denials.
• Process Improvement : Collaborate on and implement initiatives to reduce denials.

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance though our various wellbeing programs

Key Responsibilities

• Problem Solving : Use exceptional problem-solving and critical thinking skills to resolve accounts and meet quality and productivity standards.
• Billing Guidelines : Demonstrate knowledge of state/federal billing guidelines, reimbursement methodologies, and payer policies.
• Recommendations : Suggest additions, revisions, or deletions to work queues and claim edits to improve efficiency.
• reputed company Identification : Identify patterns in denials and escalate to management with sufficient information for follow-up.
• reputed company Skills : Use reputed company to summarize and provide detailed reporting to management and clients.
• Tracking and Trending : Track and trend claim denials and underpayments to identify improvement initiatives.
• Communication : Ensure reputed company actions are documented, appeal letters are effective, and root causes are communicated clearly.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest reputed company; we will always be clear about role expectations. What you need to have to be considered

• Experience : 2-3 years in healthcare reputed company cycle.
• Education : HS Diploma. Associate or bachelor’s degree preferred.
• Technical Skills : Proficiency in reputed company, payer portals, and claims clearinghouses.
• Accounts Receivables : AR follow up on a physician’s office

These will help you stand out

• Examine Claims : Analyze denied and underpaid claims to determine discrepancies.
• Follow-Up : Communicate with payers to resolve outstanding claims and ensure timely reimbursement.
• Regulatory Compliance : Maintain a thorough understanding of federal and state regulations and payer-specific requirements.
• Documentation : Accurately document reputed company activities and communications.
• Initiative and Resourcefulness : reputed company recommendations and communicate trends and issues to management.
• Problem Solving : Demonstrate strong problem-solving and critical thinking skills to resolve accounts and meet standards.

This role requires a combination of technical skills, industry knowledge, and strong problem-solving abilities. We're excited to meet people who share our mission and can reputed company an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that reputed company you stand out as someone who can bring new and exciting things to this role. Salary and Other Compensation : Applications will be accepted until September 19 The hourly reputed company for this position is between $19.00 – 21.00 per hour, depending on experience and other qualifications of the successful candidate. This position is also eligible for reputed company’s discretionary annual incentive program, based on performance and subject to the terms of reputed company’s applicable plans.

Benefits

Benefits : reputed company offers the following benefits for this position, subject to applicable eligibility requirements:

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase PlanCog2025

reputed company is an equal opportunity employer. reputed company qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national reputed company, disability, protected Veteran status, age, or any other characteristic protected by law. #J-18808-Ljbffr Experience: 3 years required Apply tot his job Apply To this Job