CorroHealth razvija klinično vodene analitične in tehnološke rešitve za bolnišnice in zdravstvene sisteme. Osredotoča se na izboljšanje finančne uspešnosti v celotnem ciklu prihodkov v zdravstvu ter združuje upravljanje cikla prihodkov, klinično dokumentacijo, medicinsko kodiranje in upravljanje zavrnjenih zahtevkov s strokovnim svetovanjem. Z obravnavanjem zapletenih procesov med plačniki in izvajalci zdravstvenih storitev CorroHealth zdravstvenim organizacijam pomaga delovati učinkoviteje in sprejemati informirane odločitve o prihodkih in povračilih.
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.
Opis
- 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.
Zahteve
- 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.
Ugodnosti
- 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.