Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Engaging in meaningful work that impacts patient financial services
- Supportive and collaborative work environment
- Chance to utilize advanced knowledge of billing and collections in a dynamic healthcare setting
- Participation 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 and exhaust all appeal efforts based on payer guidelines
- Research payer and governmental regulations, billing rules, and analyze managed care contracts
- Provide feedback and recommendations regarding trends or issues to management teams
- Accurately document all pertinent collection activity performed

What is Required (Qualifications):
- High school graduate or equivalent
- 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 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):
- Associates degree or higher
- Advanced knowledge of insurance billing, collections, and insurance terminology
- Advanced knowledge of reading and understanding managed care contracts and federal and state regulations
- Strong critical thinking and analytical skills
- Self-motivated with advanced business letter writing skills

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