Miami, FL
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Claims/Denials
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Contract-to-perm
{"JobID":267922,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-80.183,"Longitude":25.7727272727273,"Distance":null},"State":"Florida","Zip":"33156","ReferenceID":"HFL-606892","PostedDate":"\/Date(1677687377000)\/","Description":"-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company\u0027s policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.","Title":"REMOTE Denials Management Specialist","City":"Miami","ExpirationDate":null,"PriorityOrder":0,"Requirements":"-High School or GED -Minimum 1+ years of medical insurance collections experience with commercial payorsoCommercial payors -- Aetna, Cigna, United Healthcare, Medicaid, the \"blues\" (BCBS, Anthem, etc.) -Knowledge of medical terminology utilized in medical collections and billing (CPT, ICD-10, HCPCS)-Experience with insurance claims and insurance denials-Experience in payor portals and EHR systems (Availity, CignaforHCP, United Health Care)","Skills":"-Experience in a gastro specialty-Experience with eClinicalWorks-Experience working with Washington insurance companies","Industry":"Claims/Denials","Country":"US","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":24.0000,"SalaryLow":16.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}
-Provides Liaison between the providers of health care services, the patient, or other responsible persons, and revenue sources, to ensure the correctness of charges, a current record of all... More transactions, and account resolution-Maintains active communications with insurance carriers and third-party carriers until account is paid. -Negotiates payment of current and past due accounts by direct telephone and written correspondence.-Updates patient account information. -Monitors and identifies payer denial trends and problem accounts; communicates patterns to supervisor. -Runs a monthly aging report based on DOS and current A/R to identify accounts that require follow up. -Manage all assigned worklist daily for assigned insurances.-Utilize collection techniques to resolve accounts according to company's policies and procedures. -Report any coding related denial to the Coding Specialist. -Performs other duties including but limited to faxing information as required, generating retroactive authorization requests, and verifying medical eligibility. -Conducts necessary research to ensure proper reimbursement of claims.Less