In this role, you will be a vital part of maximizing collections by reviewing, researching, and resolving claim denials and appeals for various insurance companies. You will analyze payer denials, submit appeals, and contact patients and third-party payers to resolve outstanding balances. The ideal candidate thrives in a fast-paced environment, possesses a understanding of Medicare, Medicaid, and commercial insurance billing, and brings a courteous yet assertive approach to collections. Please note that while this is a work-from-home opportunity, you must reside in the DFW area and be available to come into the office for equipment pickup, training, and occasional team-building meetings. Responsibilities: Review Explanation of Benefits (EOB) from payors to determine claim management and identify payment trends. Analyze payer denials by denial groupers, prepare, and submit related appeals. Contact insurance carriers and patients to check claim status, verify insurance, and resolve outstanding balances or underpaid claims. Make necessary billing adjustments as required by plan reimbursement. Act as a liaison between clinical departments and management teams. Handle large volumes of work in a fast-paced, production-oriented environment. Complete special projects and other duties as assigned. Qualifications & Skills: 2 years of experience in medical claims recovery and/or collections (Required). High School Diploma (Required); Associate's Degree (Preferred). Must currently reside in the Greater DFW, TX area. Knowledge of payors including Managed Care, Commercial, Medicare, and Medicaid. Familiarity with billing regulations, CMS 1500, ICD-9, and CPT coding is highly preferred. Quick and accurate alpha/numeric data entry skills. Excellent written and verbal communication skills with a confident and professional demeanor. organizational, analytical, and customer service skills
salary: $23.63 - $23.64 per hour shift: First work hours: 6 AM - 5 PM education: High School
Responsibilities
Review Explanation of Benefits (EOB) from payors to determine claim management and identify payment trends. Analyze payer denials by denial groupers, prepare, and submit related appeals. Contact insurance carriers and patients to check claim status, verify insurance, and resolve outstanding balances or underpaid claims. Make necessary billing adjustments as required by plan reimbursement. Act as a liaison between clinical departments and management teams. Handle large volumes of work in a fast-paced, production-oriented environment. Complete special projects and other duties as assigned.
Skills
- medical claims recovery
- collections
- data entry
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
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