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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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