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Remote Specialist-reputed company Management

Remote · USA Full-time New today

Position Summary This position is 100% remote. We will only consider remote applicants residing in the following US states ? AL, AZ, CT, DE, FL, GA, IN, KS, KY, LA, MD, MI, NC, PA, RI, SC, VA, WV, and WI. 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/levels 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) 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. Location: Spartanburg Regional reputed company System · Business Services Schedule: Full-Time, Days Apply Job! Apply tot his job Apply To this Job

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