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Lead Account Reimbursement Specialist
PayCompetitive
LocationNashville/Tennessee
Employment typeFull-Time
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Job Description
- Req#: R-38005
Employer Industry: Healthcare Services
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 patient care and financial processes
- Engage in complex problem-solving and data analysis
- Work with a team that values excellence and continuous improvement
What to Expect (Job Responsibilities):
- Coordinate the billing and follow-up process between the organization, payers, and patients
- Analyze and report on insurance denial causes and trends
- Serve as a liaison with insurance companies and third-party payors
- Perform account audits and prepare complex reports requiring data evaluation
- Process claims, payments, adjustments, refunds, denials, and unpaid balances
What is Required (Qualifications):
- Minimum of 5 years of relevant work experience in healthcare billing or revenue cycle management
- High School Diploma or GED
- Intermediate knowledge of ICD-10-CM/PCS coding classification systems
- Strong data entry skills with the ability to transcribe information accurately
- Ability to analyze data to identify and resolve reimbursement issues
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare environment with a focus on coding and billing processes
- Familiarity with revenue cycle management practices
- Previous leadership or mentoring experience within a team setting
- Advanced analytical skills for solving complex financial problems
#HealthcareServices #BillingAndCoding #CareerOpportunity #DataAnalysis #ProfessionalGrowth
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