Employer Industry: Healthcare Software Solutions

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Fast-growing company operating in over 140 countries
- Innovative work environment focused on improving patient outcomes
- Supportive culture valuing self-motivation and entrepreneurial spirit
- Chance to make a positive impact on underserved patients suffering from critical conditions

What to Expect (Job Responsibilities):
- Research and resolve claim denials according to federal, state, and payor guidelines
- Identify trends related to underpayments and escalate issues with leadership as needed
- Communicate with payors and patients to obtain necessary information for claim resolution
- Process or appeal refund requests and handle legal/subrogation requests in compliance with HIPAA
- Respond to patient inquiries regarding their accounts and manage charity or payment plans

What is Required (Qualifications):
- Minimum 3 years of experience in the medical reimbursement field
- High School Diploma or GED equivalent, with some college-level courses
- Proficient in MS Excel, MS Word, and PDF editing tools
- Ability to read and understand Explanation of Benefits (EOBs)
- Strong communication skills, both written and verbal

How to Stand Out (Preferred Qualifications):
- Experience with billing 1500 and UB04 claim forms
- Understanding of non-contracted and contracted payer behaviors
- Ability to type at least 45 wpm and use 10-key by touch
- Familiarity with medical terminology and operation of office equipment

#HealthcareSoftware #MedicalBilling #CareerGrowth #PatientOutcomes #InnovativeTechnology

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