CorroHealth अस्पतालों और स्वास्थ्य प्रणालियों के लिए चिकित्सकीय विशेषज्ञता के नेतृत्व में स्वास्थ्य सेवा विश्लेषण और प्रौद्योगिकी समाधान विकसित करता है। इसका कार्य स्वास्थ्य सेवा राजस्व चक्र में वित्तीय प्रदर्शन को बेहतर बनाने पर केंद्रित है, जिसमें राजस्व चक्र प्रबंधन, नैदानिक दस्तावेज़ीकरण, चिकित्सा कोडिंग और अस्वीकृत दावों के प्रबंधन को विशेषज्ञ मार्गदर्शन के साथ जोड़ा जाता है। भुगतानकर्ता और प्रदाता से जुड़ी जटिल प्रक्रियाओं को व्यवस्थित करके, CorroHealth स्वास्थ्य सेवा संगठनों को अधिक कुशलता से काम करने और राजस्व तथा प्रतिपूर्ति से जुड़े सूचित निर्णय लेने में सहायता करता है।
Remote Accounts Receivable Insurance Specialist
Resolve complex unpaid and denied healthcare claims for a reimbursement solutions provider. Research claims, address billing issues, and help resolve client accounts.
विवरण
- Resolve complex, high-value unpaid and denied claims using proprietary tools, client systems, phone, mail, and insurer portals.
- Identify and report account-resolution trends, such as coding errors, duplicate claims, revenue-code mapping issues, missing charges, and claims absent from payer records.
- Assess account finances, including adjustments and NRP to patient.
- Rebill claims through client systems.
- Submit medical records and billing claims.
- Contact patients about assistance programs.
- Retrieve documents from client systems and update insurance plan codes.
- Review corrected-claim requests, approve client assistance, or correct bills in the client platform.
- Review and submit payment-verification assistance requests.
- Stay informed about preferences and known issues across multiple client accounts.
- Assist with client special projects as needed.
- Handle other assigned duties.
आवश्यकताएँ
- High school diploma or equivalent.
- At least five years of relevant industry experience in registration, billing, and collections.
- At least three years of experience resolving insurance carrier claims.
- Three or more years of experience with Epic, Cerner, Meditech, or another EMR is preferred.
- Knowledge of UB-04 claim forms, EOBs, and medical records.
- Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding.
- Ability to research complex claims in detail.
- Intermediate math skills, including basic arithmetic and trend identification.
- Advanced proficiency in Excel and PowerPoint.
- Ability to compile and summarize data.
- Strong verbal and written communication skills.
- Ability to analyze and interpret complex documents, contracts, notes, and correspondence.
- Ability to prioritize tasks and manage multiple responsibilities in a fast-paced setting.
- Ability to work effectively remotely.
- Investigative approach to identifying issues and putting solutions in place.
लाभ
- Competitive hourly pay.
- Equipment provided.
- Medical, dental, and vision insurance.
- 401(k) program.
- 80 hours of PTO accrued annually.
- Nine paid holidays.
- Tuition reimbursement.
- Professional growth opportunities and more.