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Accounts Receivable Denials Specialist
Accounts ReceivableAccounts ReceivableContractRemoteSeniorTeam 11-50H1B No SponsorCompany SiteLinkedIn
Location
United States
Posted
60 days ago
Salary
$28 / hour
Seniority
Senior
3 yrs expEnglish
Job Description
• Denial Review and Resolution: Review and resolve denied insurance claims by contacting insurance carriers, researching denial reasons, and ensuring accurate billing and coding practices.
• Documentation and Appeal: Compile necessary documentation to support insurance appeals and collaborate with other departments to address editing, coding, and payment issues.
• Trend Analysis: Identify denial trends and work with billing and coding teams to implement process changes to prevent future denials.
• Follow-up and Communication: Maintain communication with insurance companies and patients to ensure accurate and timely payment.
• Compliance: Stay abreast of current insurance regulations and managed care contractual obligations.
• Customer Service: May assist with patient phone calls and customer service inquiries.
• Reporting: May be responsible for generating reports on denial trends and other relevant metrics.
• Cash Reconciliation/Payment Posting: Review and post electronic and manual payments from insurance carriers and patients, Perform reconciliation of bank deposits to posted payments.
Job Requirements
- At least 3 years of experience working insurance claim denials including Medicaid/Medicaid MCOs
- Reliable internet connection and private workspace
- Experience with Candid (preferred)
Benefits
- Fully remote – work from anywhere in the U.S.
- Flexible hours with an async-friendly team culture
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