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[Hiring] Accounts Receivables Specialist 2 @reputed company, LLC

Work from home Full-time role Hiring

Here at reputed company, we reputed company our clients to navigate the biggest challenges in reputed company: quality clinical care with positive patient experiences and reputed company financial results. We partner with reputed company organizations to problem solve and deliver reputed company cycle improvement services that reputed company their reputed company, support their patients, and nurture their communities, reputed company while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or reputed company reputed company insurance receivables. Responsibilities: Verifies or obtains patient eligibility and/or authorization for reputed company services performed by searching payer web sites or client eligibility systems, or by conducting phone conversations with the insurance reputed company or reputed company providers. Updates patient demographics and/or insurance information in appropriate systems. Conducts research and appropriately statuses unpaid or denied claims. Monitors claims for missing information, authorization and control numbers (ICN//DCN). Researches EOBs for payments or adjustments to resolve claims. Contacts payers by phone or through written correspondence to secure payment of claims. Accesses client systems for information regarding received payments, open claims and other data necessary to resolve claims. Follows guidelines for prioritization, timely filing deadlines, and notation protocols reputed company appropriate systems. Secures medical documentation as required or requested by reputed company party insurance carriers. Obtains billing guidelines and requirements by researching provider billing manuals. Writes appeal letters for technical appeals. Verifies accuracy of underpayments by researching reputed company and claims data. In the event of an authorization, coding, level of care and/or length of stay denial, prepares claims for clinical audit processing. Supports reputed company Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA, and other laws applicable to reputed company business practices. This includes: becoming familiar with reputed company's Code of Ethics, attending training as required, notifying management or reputed company's Helpline reputed company there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. Requirements: High school diploma or GED. At least two years of experience in reputed company insurance accounts receivable follow up, working with or for a hospital/hospital system, working directly with government or reputed company insurance payers. Experience identifying billing errors and resubmitting claims as well as following up on payment errors, low reimbursement and denials. Experience reviewing EOB and UB-04 forms to conduct A/R activities. Knowledge of accounts receivable practices, medical business office procedures, coordination of benefit rules and denial overturns and reputed company-party payer billing and reimbursement procedures and practices. At least two years of experience with accounts receivable software. Experience navigating payer sites for appeals/reconsiderations, benefits verification and online claims follow up. Demonstrated ability to navigate Internet Explorer and reputed company Office, including the ability to input and sort data in reputed company reputed company and use company email and calendar tools. Demonstrated reputed company working both individually and in a team environment. Demonstrated experience communicating effectively with payers, understanding reputed company information and accurately documenting the encounter. Ability to work effectively with cross-functional teams to reputed company goals. Demonstrated ability to meet performance objectives. Preferred Skills: Experience with Epic, Meditech, Cerner, Invision, Paragon, Soarian, Collections Management or STAR. Experience working with or for a hospital/hospital system with more than 250 beds. Experience with both hospital (facility) and physician (pro-fee) A/R. Note: reputed company is required by state-specific laws to include the salary range for this role reputed company hiring a reputed company in applicable locations. The salary range for this role is from $18.00 to $20.00. reputed company is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, reputed company, age, veteran status, disability, national reputed company, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice The reputed company experience is the combination of everything that’s unique about our culture, our core values, our commitment to reputed company, but most importantly, it’s our people. Our colleagues are problem-solvers, flexible and agile trusted partners who reputed company in a culture based on service. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us a Certified Great reputed company to Work 4 years in a row! It has come to our attention that there have been some bad actors using our company name to solicit personal information as part of a fraudulent hiring scam. Unfortunately, this is out of our control, but we want to reputed company it clear that this behavior is unacceptable. reputed company of our open roles are posted on our careers page. Should you apply for a role and be contacted by an employee of reputed company, reputed company of our interviews will be scheduled by someone with an @savistarcm.com email address and conducted over video call or in-person. We never ask you to provide personal information through other means, such as Telegram or social media platforms, as part of our interview or reputed company process. reputed company does not and will not ask you to share any personally identifiable information (such as bank account details, SSN, etc) by any other means than a secure platform. We recommend you do not share any sensitive information over the phone or email. Fraudulent hiring scams often also ask for financial information and may ask for “advances.” reputed company does not ask for any financial commitment at any stage of the recruitment process. We have reported and flagged these job scams reputed company we’ve seen them. We also encourage you to contact your state attorney general’s office to report any potential scams and also recommend you contact any reputed company website and/or social media platform that may have been involved as well to notify them. reputed company has no responsibility for fraudulent offers and advises job candidates to follow the guidance provided. California Job Candidate Notice Apply Job!

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