Employer Industry: Healthcare Services

Why consider this job opportunity:
- Competitive compensation and generous paid time off
- Excellent medical, dental, vision, and prescription drug plans
- 401(K) with company match
- Challenging and rewarding work environment
- Opportunity to work in a first-class organization dedicated to improving community health
- Potential for career growth within a rapidly expanding company

What to Expect (Job Responsibilities):
- Perform accurate and timely follow-up on unpaid and underpaid claims, identifying reasons for denials and correcting claims for reprocessing
- Research denial trends and make recommendations to prevent future denials while maintaining knowledge of payer requirements
- Conduct eligibility and claim status inquiries via outbound calls and web tools, documenting all actions taken according to department policy
- Participate in team meetings to share insights on denial trends and contribute to workflow improvements for enhanced revenue collections
- Meet established productivity and quality metrics while collaborating with supervisors on performance improvement strategies

What is Required (Qualifications):
- High School Graduate/GED required; Technical School/2 Years College/Associates Degree preferred
- Minimum of 1-3 years of experience in healthcare revenue cycle
- Knowledge of healthcare billing, including CPT/ICD-10 coding and various insurance claim submission requirements
- Strong organization skills, attention to detail, and problem-solving abilities
- Proficiency in Microsoft Office and strong computer literacy skills

How to Stand Out (Preferred Qualifications):
- Understanding of the revenue cycle and how its components work together
- Proven track record of achieving results within a high-performing team environment
- Service-oriented and customer-centric approach

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