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Role Overview:
- This role focuses on managing high-value claims, resolving payment challenges, and supporting efficient collections processes.
- You will work remotely within a collaborative team dedicated to improving financial outcomes while maintaining healthcare compliance.
Key Accountabilities:
- Utilize billing systems to identify, investigate, and resolve unpaid, underpaid, and denied claims.
- Review EOBs and payment details to verify accurate reimbursement based on contracts and regulations.
- Prepare and submit appeals, disputes, and documentation requests while monitoring trends for process improvements.
Requirements & Benefits:
- Requires 4+ years of experience with payer policies, reimbursement processes, and medical claims.
- Strong knowledge of medical billing, coding (CPT, ICD-10, HCPCS), and insurance regulations.
- Benefits include medical, dental, vision, 401(k), paid time off, and parental bonding leave.
Jobgether
Our partner operates within the healthcare revenue cycle, ensuring accurate reimbursement for medical services. They are a collaborative team focused on improving financial outcomes and maintaining compliance with healthcare regulations.