Employer Industry: Healthcare Revenue Cycle Management
Why Consider This Job Opportunity…
• Opportunity for career advancement and growth within the organization
• Flexible remote work environment
• Supportive and collaborative team atmosphere
• Chance to work with a dedicated Managed Medicaid team
• Engage in meaningful work that directly impacts patient account integrity
What To Expect (Job Responsibilities)
• Utilize various methods (phone, web, fax, e-mail) to contact insurance payers and obtain claim status on submitted claims
• Research patient accounts to ensure account integrity and resolve denials and payer barriers
• Take appropriate actions toward account resolution, including interdepartmental communication and posting adjustment requests
• Document all actions taken to reach resolution on an account using internal systems
• Communicate daily with management about identified payer trends
What Is Required (Qualifications)
• High school diploma or equivalent
• Minimum of 1 year of experience in healthcare revenue cycle or business office
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Proficiency in Word Processing software, spreadsheet software, and database software
• Ability to interpret technical instructions and deal with abstract and concrete variables
How To Stand Out (Preferred Qualifications)
• Experience in insurance reimbursement or claims management within the healthcare sector
• Familiarity with CMS/other payer guidelines
• Strong critical thinking skills and problem-solving abilities
• Excellent written and verbal communication skills
• Ability to work independently and manage time effectively
#HealthcareRevenueCycle #RemoteWork #CareerGrowth #PatientAccountIntegrity #InsuranceReimbursement
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