Job Description
- Important things YOU should know:
- Eligibility: Candidate must be a resident of one of the following states to qualify for this opportunity: AZ, FL, MO, NV, TX, WA and WI
- Remote: This position is open to work remotely in any of the states listed above
- Experience: Availity platform experience strongly preferred
- Schedule: Mon – Fri 8:00am – 4:30pm CST
What will YOU be doing for us? Reconcile incoming payments with outstanding remittances to ensure accurate payments have been made, patients are billed for appropriate amounts, and correct amounts are written off per contract requirements. Work directly with provider offices and client to rectify any potential issues leading to problems with payments.
- What will YOU be working on every day?
- Review internal reports to ensure proper medical claim processing and billing has occurred.
- Research and follow up on medical claims where proper processing has not occurred by contacting client and/or provider’s office.
- Maintain detailed notes in proprietary web based systems to ensure proper communication is made to providers regarding medical claim status.
- Contact client to determine medical claim status and assist in the resolution of proper medical claim processing.
- Answer incoming calls, emails and voicemails and provide great customer service while doing so.
- Develop and/or communicate methods to improve productivity and efficiency.
- Contribute to the team effort by accomplishing additional responsibilities as needed.
What qualifications do YOU need to have to be a GOOD candidate?
- Required Level of Education, Licenses, and/or Certificates
- High school diploma or equivalent
- Required Level of Experience
- 1+ years of banking or finance related experience.
- Required Knowledge, Skills, and Abilities
- Entry level knowledge of Microsoft Word/Excel/Outlook/SharePoint
- Entry level knowledge of Ring Central/Slack/Zoom/Teams
- Analytical skills
- Ability to prioritize and organize multiple tasks.
- Ability to remain organized with multiple interruptions.
- Ability to work in a HIPAA compliant remote environment.
- Ability to successfully communicate with colleagues and clients in a remote setting.
What qualifications do YOU need to have to be a GREAT candidate
- Preferred Level of Education, License, and/or Certificates
- Associates degree in Business, Finance or related field.
- Preferred Level of Experience
- 2+ years of banking or finance related experience in a healthcare environment.
- Previous experience working in a remote/virtual environment.
- Preferred Knowledge, Skills, and Abilities
- Knowledge of health care and/or physical therapy terminology, coding, and operations.
- Availity platform experience strongly preferred
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