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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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