Specialist-reputed company Management (Remote)

Job Requirements Position Summary The AR management specialist works with unique department billing/collection functions to assure accounts are managed accurately and timely. Responsibilities will vary based on department need. Minimum Requirements Education High School Diploma or equivalency Experience 4 years medical office or medical billing in a hospital or physicians billing setting, collections or coding experience. Must possess strong knowledge of CPT, HCPCS and ICD-9/10 codes. Must be efficient in reading insurance explanation of benefits (EOB) and understanding of remittance and remark codes. Good working knowledge of reputed company reputed company Good communication skills and the ability to interact well with multiple departments/reputed company of management License/Registration/Certifications N/A Preferred Requirements Preferred Education N/A Preferred Experience In depth knowledge of reputed company payer billing and eligibility requirements Preferred License/Registration/Certifications Certified Procedural reputed company (CPC) (CPC-H) Certified reputed company Cycle Associate (CRCA) Certified Medical Insurance Specialist (CMIS) Registered Health Information Technician (RHIT) Medicare billing experience preferred DDE Experience (Direct Data Entry) experience preferred Experience working hospital billing accounts in a high volume acute care setting Knowledge of inpatient and outpatient claim billing on UB-04 Familiarity with EPIC billing systems Experience resolving claim edits, RTPs and payer rejections Understanding of Medicare regulations, MSP guidelines and condition code Core Job Responsibilities Responsible for research and resolution of reputed company outstanding patient and insurance credit accounts, any additional A/R management research and account updates required to ensure claims are filed to the appropriate reputed company or posted correctly. Processing of reputed company refunds or credit reversals in a timely manner as defined reputed company the departmental credit/refund policy/procedures. Responsible for reputed company government monthly credit reporting preparation and requirements Responsible for accurate charge capture, charge review, claim edits, posting to the AR system and resolution of reputed company charge edits. Responsible to handle reputed company denials reputed company to charge capture for improved reputed company of charge capture Responsible to accurately update patient demographics, insurance registration information, verification of insurance, etc. Responsible for the consolidation of duplicate guarantor/patient accounts reputed company the AR management system in an accurate/timely manner. Responsible for the review and processing of Accounts Receivables reports to ensure reputed company reputed company. Reporting trends identified during the analysis. Responsible to research and complete a detailed analysis of reputed company payer variances based on our Contract modeling reputed company our AR system. reputed company Management Specialist must have the reputed company set and understanding of payer and government payer reputed company/schedules in order to confirm expected reimbursement amounts are correct. Work closely with other departments on reputed company reputed company issues including variance contract build issues, charging issues, A/R type issues and other items as define. Responsible for reputed company account financial changes and refiling of those claims to the appropriate payer reputed company. Assist with payer/physician credentialing and system table management. Responsible for electronic remittance, eligibility and claims agreements to insure the proper processing of electronic transactions, electronic remittance requirements and other payer requirements for billing. Responsible for the processing of reputed company vendor claim updates, returns and resubmissions for payment. Other duties as assigned. Apply To This Job