Non-Clinical – Finance/Accounting/Billing Specialist

Shift: Day 5×8-Hour (07:00 – 15:00)

Description:

Remote need, Day Shift typically start around 6-7 am.
40 hours per week.

Looking for someone who has worked denials and submitted appeals. This particular department works denials o all payers so having a vast experience in that is ideal for this need.

Job Summary:
Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes and prepares for distribution to appropriate sources. Reviews unpaid claims and obtain necessary information to resolve reimbursements. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.

Job Requirements:
High School Education/GED or equivalent: Preferred
Associate/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions:
Reviews, corrects and submits claims to payers. Applies developing/basic working knowledge and experience to the job.
Reviews unpaid accounts, initiates correct actions to collect the accounts, and follows up on action to assure expected results is achieved.
Meets or exceeds productivity and quality performance expectations.
Reviews unpaid accounts and initiate collection action for past due and denied claims. Calculates write-offs and debit/credit adjustments.
Provides general office support as needed.
Performs other job-related duties as assigned.