Employer Industry: Healthcare Revenue Cycle Management

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on the resolution of insurance claims
- Work with a team dedicated to upholding the organization's mission and values
- Engage in a role that emphasizes relationship-building and excellent customer service

What to Expect (Job Responsibilities):
- Contact insurance carriers daily to follow up on and collect past due amounts on outstanding medical claims
- Maintain an accurate and up-to-date aging of assigned accounts, including AR analysis and follow-up
- Create and follow up on appeals needed to protest denials or incorrect payments
- Review complex denials and resolve issues related to claims payment in collaboration with other RCM departments
- Uphold compliance with company policies and procedures while managing high volumes of work

What is Required (Qualifications):
- Minimum educational requirement: High School Diploma or GED
- 3 years of experience managing Accounts Receivable and performing direct follow-up with payers
- 1 year of experience communicating effectively with insurance payers and internal communications
- 3 years of experience working with medical terminology, including ICD10, CPT, HCPCs coding, and HIPAA requirements
- 3 years of experience working with commercial, government, and state insurance payers and their reimbursement policies

How to Stand Out (Preferred Qualifications):
- 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite, as well as medical practice management software and electronic medical records
- 3 years' experience resolving complex insurance issues, including assigning correct payers, EOB adjustments, and refunds to accounts

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