Employer Industry: Healthcare Technology Solutions

Why consider this job opportunity:
- Opportunity for career advancement and growth within a fast-growing company
- Supportive and innovative work culture focused on making a difference in patients' lives
- Chance to work in a role that directly impacts patient outcomes and operational efficiencies
- Engage in meaningful work within a company that values self-motivation and entrepreneurial spirit
- Clear and concise communication is essential, enhancing professional development
- Work in a collaborative environment with a commitment to improving healthcare services

What to Expect (Job Responsibilities):
- Research and determine claim denials and take appropriate action for payment within federal, state, and payor guidelines
- Identify consistent payor or system trends that result in underpayments, denials, and errors
- Understand and navigate payor guidelines, escalating claim issues when appropriate
- Respond to written and verbal inquiries from patients regarding their accounts and process charity and payment plans
- Meet production and quality standards while working in a fast-paced environment

What is Required (Qualifications):
- Minimum of 3 years in the medical reimbursement field
- Ability to read and understand Explanation of Benefits (EOBs)
- Proficiency in MS Excel (filtering and formatting reports) and MS Word (formatting letters and templates)
- High School Diploma or GED equivalent, with some college-level coursework
- Experience in billing 1500 and UB04 claim forms

How to Stand Out (Preferred Qualifications):
- Understanding of non-contracted and contracted payer behaviors
- Ability to speak confidently to insurance representatives and patients
- Knowledge of medical terms and HIPAA guidelines
- Typing speed of 45 wpm and proficiency in 10-key by touch
- Experience with PDF formatting and editing in Adobe Acrobat or equivalent

#HealthcareTechnology #MedicalReimbursement #CareerGrowth #PatientOutcomes #InnovativeCulture

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