You will contact payers for medical claims status, follow up on denials or partial payments.
Obtain payer requirements for timely adjudication of claims.
File claims with appropriate documentation attached.
Pursue, maintain, and communicate medical coverage/guideline changes/updates to internal team and/or customers.
Process all incoming and outgoing correspondence as assigned.
Verify, adjust, and update Accounts Receivable (A/R) according to correspondence received from insurance company.
Help facilitate communication on error and denial trends.
Initiate the review/appeals process on disputed claims.
Maintain partnerships with the Strategy & Operations team regarding customer accounts and claim trends.
Maintain HIPAA guidelines.
Requirements:
At least 2 years of experience in revenue cycle management for medical billing or healthcare/healthtech.
Knowledge of CPT and ICD-10 coding.
Investigative mindset, comfortable running down problems and suggesting actions based on data.
Self-starter with attention to quality and pragmatic approach.
Excellent oral and written communication skills.
Effective multitasking skills.
Positive and cooperative attitude working with individuals at all levels of the organization.
- Minimum 2 years experience in revenue cycle management related to medical billing or healthcare/healthtech
- Knowledge of CPT and ICD-10 coding
- Investigative mindset and problem-solving skills
- Self-starter with high quality standards
- Excellent communication and multitasking skills
- Positive and cooperative attitude
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago