Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Competitive salary with potential for bonuses
- Supportive and collaborative work environment
- Chance to make a positive impact on financial operations and patient services
- Involvement in continuing education related to payer and governmental policies

What to Expect (Job Responsibilities):
- Validate dispute reasons and escalate payment variance trends or issues to management
- Generate appeals for denied or underpaid claims based on payer guidelines
- Research payer and governmental regulations, billing rules, and managed care contracts
- Collaborate with various departments to resolve ongoing denials and underpayments
- Document all pertinent collection activities accurately and thoroughly

What is Required (Qualifications):
- High school graduate or equivalent; Associate's degree or higher preferred
- Minimum of at least 3 years of experience in a hospital business or medical office environment performing billing and/or collections
- Advanced knowledge of 1500 and/or UB-04 forms and Explanation of Benefits (EOB) interpretation
- Intermediate knowledge of CPT and ICD-10 codes
- Excellent verbal and written communication skills

How to Stand Out (Preferred Qualifications):
- Advanced knowledge of insurance billing, collections, and terminology
- Strong critical thinking and analytical skills
- Self-motivated with advanced business letter writing skills
- Knowledge of reimbursement methodologies for various payer groups

#Healthcare #Billing #ClaimsManagement #CareerOpportunity #HealthcareServices

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