Revenue Cycle Specialist

Steindler Orthopedic Clinic PLC

Job Summary

Insurance claims submission and follow-up via communication with insurance carriers, patients, guardians, and service providers.

Job Responsibilities

  •  Work initial insurance claim edits, finalize claims, and send claims
  •  Work claim denials from insurance carriers through Workflow Management Program
  •  Route insurance denials to proper staff, when needed
  •  Follow up with insurance payors regarding the status of outstanding claims.
  •  Contact patients and guarantors regarding outstanding self-pay balances due.
  •  Document all actions taken in our practice management system.
  •  Verify Insurances and eligibility
  •  Adhere to HIPAA guidelines and maintain patient confidentiality.
  •  Remain up to date on payor rules and regulations.
  •  Meet productivity deadlines for end of month, quarter, and year time frames.
  •  Ensures the delivery of exceptional patient services by putting patients' needs first and displaying:
  •  A willingness to listen to the patient and determine their situation
  •  A desire to resolve patient issues and solve patient questions
  •  A determination to meet or exceed client and employer expectations for account resolution and handling as well as HIPAA rules and patient information security

Requirements:

  •  2-3 years of claim management experience preferred.
  •  Attention to detail and ability to achieve a high level of accuracy.
  •  Computer skills including Microsoft Office programs.
  •  Ability to work independently as well as a part of a team.

 

Click to Apply  
PI174659477

 

Job ID: 80632

Posted 26 days ago

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